Vijay Kumar Pamidimukkala

Primary specialty

PharmacistTaxonomy code 183500000X

License

032243 Issued in NY

Practice address

4318 13TH Ave
Brooklyn, NY 11219-1338

Phone

(718) 686-0047

Fax

(718) 686-0166

NPI assigned

Feb 22, 2010

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

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.

• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1598087272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PENROSE CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201618",
            "telephone_number": "732-499-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191338",
            "telephone_number": "718-686-0047",
            "fax_number": "718-686-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMIDIMUKKALA",
        "first_name": "VIJAY",
        "middle_name": "KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vince Palumbo, PT, DPT
• Pamcam LLC
• Pamela a. Lawton Ma, OT, CHT Hand & Upper Ext. Rehab., PLLC
• Pamela Mendelsohn
• Adina Chana Pamensky
• Bernadette Fernando Pamilar, P.T.
• Bernard Fernando Pamilar, PT
• Shaun Pamintuan, DPT
• Carol J Pamm, PH.D.
• Marie Anne Pamphile, LPN

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.