Individual provider Active NPI

Lalitha P Pasupuleti, R.PH

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1457793903
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT0011276 Issued in CT
Practice address
306 Grand Ave
Hancock Pharmacy VII
New Haven, CT 06513-3730
Phone
(203) 776-7100
Fax
(203) 776-7102
NPI assigned
Jul 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT0011276 CT Primary

Addresses

Primary practice location

306 Grand Ave
Hancock Pharmacy VII
New Haven, CT 06513-3730

Mailing address

306 Grand Ave
Hancock Pharmacy VII
New Haven, CT 06513-3730
Phone (203) 776-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT0011276CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Pharmacy VII LLC Past Accepting new patients
Hancock Pharmacy VII LLC PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1457793903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "address_2": "HANCOCK PHARMACY VII",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GRAND AVE",
            "address_2": "HANCOCK PHARMACY VII",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133730",
            "telephone_number": "203-776-7100",
            "fax_number": "203-776-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPULETI",
        "first_name": "LALITHA",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0011276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.