Individual provider Active NPI

Ankit Senjalia

  • Pharmacist
  • Nazareth, PA
National Provider Identifier
1477156784
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454104 Issued in PA
Practice address
4082 Jandy Blvd
Nazareth, PA 18064-8998
Phone
(610) 746-3412
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04034900 NJ
Pharmacist 183500000X RP454104 PA Primary

Addresses

Primary practice location

4082 Jandy Blvd
Nazareth, PA 18064-8998

Mailing address

4082 Jandy Blvd
Nazareth, PA 18064-8998
Phone (610) 746-3412

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

State licenses

LicenseStateTypeSpecialty
28RI04034900NJMDPharmacist
RP454104PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. CurrentSince Aug 8, 2021 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Nov 22, 2020 Accepting new patients

Locations

4082 Jandy Blvd
Nazareth, PA 18064
Phone (610) 746-3412

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1477156784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 JANDY BLVD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648998",
            "telephone_number": "610-746-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 JANDY BLVD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648998",
            "telephone_number": "610-746-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENJALIA",
        "first_name": "ANKIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04034900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.