Individual provider Active NPI

Visesh Velagapudi

  • Pharmacist
  • Perry Hall, MD
National Provider Identifier
1497472138
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27522 Issued in NC
Practice address
4405 Augusta Way
Perry Hall, MD 21128-8976
Phone
(410) 900-4950
NPI assigned
Oct 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27522 NC Primary

Addresses

Primary practice location

4405 Augusta Way
Perry Hall, MD 21128-8976

Mailing address

4405 Augusta Way
Perry Hall, MD 21128-8976
Phone (410) 900-4950

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4109004950

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
27522NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1497472138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 AUGUSTA WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288976",
            "telephone_number": "410-900-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 AUGUSTA WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288976",
            "telephone_number": "410-900-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAGAPUDI",
        "first_name": "VISESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4109004950",
            "affiliation": "N",
            "endpointDescription": "mobile",
            "address_1": "4405 Augusta Way",
            "city": "Perry Hall",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211288976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.