Individual provider Active NPI

Laxmi Narasimha Rao Buddineni, PHARMACIST

  • Pharmacist
  • Mechanicsburg, PA
National Provider Identifier
1538468319
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439012 Issued in PA
Practice address
330 Cumberland Pkwy
Mechanicsburg, PA 17055-5674
Phone
(717) 796-7685
Fax
(717) 790-9491
NPI assigned
Mar 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439012 PA Primary
Pharmacist 183500000X 16902 MD

Addresses

Primary practice location

330 Cumberland Pkwy
Mechanicsburg, PA 17055-5674

Mailing address

330 Cumberland Pkwy
Mechanicsburg, PA 17055-5674
Phone (717) 796-7685

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
16902MDMDPharmacist
RP439012PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300579200000",
    "number": "1538468319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CUMBERLAND PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555674",
            "telephone_number": "717-796-7685",
            "fax_number": "717-790-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CUMBERLAND PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555674",
            "telephone_number": "717-796-7685",
            "fax_number": "717-790-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDINENI",
        "first_name": "LAXMI NARASIMHA RAO",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-20",
        "last_updated": "2011-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439012",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.