Chandra S Vattikonda, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

73400 Issued in TX

Practice address

2409 Alco Ave Ste C
Dallas, TX 75211-2614

Phone

(214) 919-2399

Fax

(214) 919-2344

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paris LLC

  dba Fate Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1295201051
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1558184184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 TWIN EAGLES DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750094699",
            "telephone_number": "973-723-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ALCO AVE STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112614",
            "telephone_number": "214-919-2399",
            "fax_number": "214-919-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTIKONDA",
        "first_name": "CHANDRA",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "73400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Vassaur, M.D.
• Christopher Vassel
• Roma Vaswani
• Athica Vatanapradith, MD
• Natalie Marie Vatinyan, PA
• Christy Vaughan, PHARM.D.
• Elizabeth R Vaughan, MD
• Nathan Andrew Vaughan, MD, MPH
• Paul A Vaughan, M.D.
• Starr Legene Vaughan

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.