Vijayasree LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIJAYASREE LLC

Practice address

1816 Stefko Blvd Ste a
Bethlehem, PA 18017-6235

Phone

(610) 419-4198

Fax

(610) 419-4252

NPI assigned

Sep 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sreedevi Mandalapu

Title

Member

Phone

(610) 419-4198

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venugopal Ghanta Venkata, PHARMACIST

  • Pharmacist
  • Bethlehem, PA
  • NPI 1174951784
  NPD
• Teja Ghanta, RPH

  • Pharmacist
  • Bethlehem, PA
  • NPI 1033982582
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1497156111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 STEFKO BLVD STE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180176235",
            "telephone_number": "610-419-4198",
            "fax_number": "610-419-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 STEFKO BLVD STE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180176235",
            "telephone_number": "610-419-4198",
            "fax_number": "610-419-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYASREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "MANDALAPU",
        "authorized_official_first_name": "SREEDEVI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-419-4198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory House of Lehigh Valley
• Karen D Vidaurre-Richards
• Bryon Joseph Viechnicki, D.M.D., M.S.
• Joseph Michael Viechnicki, D.D.S.
• Michael Bruce Viechnicki, M.D.
• Vijayasree LLC
• Maheep Pratap Vikram, M.D.
• Christopher Vila, PA-C
• Jennifer Vilanova
• Lukas James Vilella, MD

• Community/Retail Pharmacy in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.