Venugopal Mateti, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202216028 Issued in VA

Practice address

121 W Carolina Ave
Crewe, VA 23930-1803

Phone

(434) 645-9545

NPI assigned

Dec 18, 2017

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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

• Crittendens RX Inc

  • Community/Retail Pharmacy
  • Crewe, VA
  • NPI 1578076857
  NPD
• Crittenden's Drug Store

  • Pharmacist
  • Crewe, VA
  • NPI 1366523185
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1487160180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 MARY JANE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592401",
            "telephone_number": "419-819-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239301803",
            "telephone_number": "434-645-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Crewe",
            "state": "VA",
            "postal_code": "239301803",
            "country_code": "US",
            "telephone_number": "434-645-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATETI",
        "first_name": "VENUGOPAL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-18",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "18295",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202216028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Edward Hall II, M.D.
• Avante Mone Hawkes
• House Calls M.D.
• Housecalls MD
• Kimberlynn's Company, LLC
• Nottoway Co Emergency Squad
• Nottoway County Emergency Squad, Inc.
• Amanda Eanes Reed, M.S. CCC-SLP
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Crewe)
• Charles I Rosenbaum, M.D.

• Pharmacist in Crewe, VA
• Providers in Crewe, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.