Active NPI
Srinivasa Kumar Nandyala, RPH
- Pharmacist
- Cary, NC
National Provider Identifier
1609123280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22662
- Practice address
- 114 Kilmayne Dr
Cary, NC 27511-4465 - Phone
- (919) 678-5027
- Fax
- (919) 678-5037
- NPI assigned
- Aug 14, 2012
- Last updated
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22662 | NC | Primary |
Addresses
Primary practice location
114 Kilmayne Dr
Cary, NC 27511-4465
Mailing address
114 Kilmayne Dr
Cary, NC 27511-4465
Phone (919) 678-5027
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
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1609123280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KILMAYNE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275114465",
"telephone_number": "919-678-5027",
"fax_number": "919-678-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 KILMAYNE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275114465",
"telephone_number": "919-678-5027",
"fax_number": "919-678-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDYALA",
"first_name": "SRINIVASA",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.