NPIMap

Organization Active NPI

Reddy Medical Associates P.C.

  • Community/Retail Pharmacy
  • Richmond, VA
National Provider Identifier
1528084084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004047 Issued in VA
Legal business name
REDDY MEDICAL ASSOCIATES P.C.
Practice address
2809 North Ave
103
Richmond, VA 23222-3647
Phone
(804) 329-0077
Fax
(804) 329-3330
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ramakrishna Reddy Neravetla, R.PH.
Title
Pharmacist in Charge
Phone
(804) 329-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004047 VA Primary

Addresses

Primary practice location

2809 North Ave
103
Richmond, VA 23222-3647

Mailing address

2809 North Ave
103
Richmond, VA 23222-3647
Phone (804) 329-0077

Other identifiers 1

IdentifierTypeStateIssuer
4838869OtherNCPDP

Other names 1

  • Reddy's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boonsboro Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2809 North Ave
Ste 103
Richmond, VA 23222
Phone (804) 329-0077

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528084084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVE",
            "address_2": "103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223647",
            "telephone_number": "804-329-0077",
            "fax_number": "804-329-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVE",
            "address_2": "103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223647",
            "telephone_number": "804-329-0077",
            "fax_number": "804-329-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NERAVETLA",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "804-329-0077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4838869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reddy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

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