Ketul Chaudhary, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210365 Issued in VA

Practice address

3471 Old Halifax Rd
South Boston, VA 24592-4936

Phone

(434) 575-7878

NPI assigned

Nov 13, 2020

Sex

Male

Sole proprietor

Yes

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.

• Clinic Pharmacy Croasdaile, LLC

  • Community/Retail Pharmacy
  • Durham, NC
  • NPI 1740044668
  NPD Authorized official

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1629670773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SLATE BLUE PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191832",
            "telephone_number": "201-783-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 OLD HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924936",
            "telephone_number": "434-575-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "KETUL",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Caudle, RD
• Hayley Piercy Chalkley, M.S.,CF-SLP
• Sarah Chandler
• Catherine Chaney, LPC
• Meghan Nichole Chaney, BCBA
• Arash Chehrazi, MD
• Brittany Clark, RBT
• Todd C Clarkson, DDS
• Debra G. Claycomb, D.D.S.
• Candace Renee Clocker, M.D.

• Pharmacist in South Boston, VA
• Providers in South Boston, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.