Radhakrishna Katragadda, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03138400 Issued in NJ

Practice address

745 Bergen Ave
Jersey City, NJ 07306-4705

Phone

(201) 521-0546

Fax

(201) 521-0546

NPI assigned

Apr 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• Bergen Ave Drugs, Inc

  • Pharmacy
  • Jersey City, NJ
  • NPI 1184923823
  NPD (past)

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1508156860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-521-0546",
            "fax_number": "201-521-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-521-0546",
            "fax_number": "201-521-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRAGADDA",
        "first_name": "RADHAKRISHNA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03138400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP :3197755",
            "identifier": "28RI03138400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI : 1184923823",
            "identifier": "28RS00711100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neeharika Kasuganti, MD
• Ena Katavic, M.A., LPC, NCC
• Rushit Katharotia
• Samina Kathawala, DDS
• Rujuta Baban Katkar, M.D.
• Ameera Mudar Kattash, MD
• Amanda Claire Katz, DPT
• Arthur M Katz, MD
• Gillian Paige Katz
• Marc Neill Katz, M.D.

• Pharmacist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.