Individual provider Active NPI

Satyanarayana Annamaneni, RPH

  • Pharmacist
  • Bordentown, NJ
National Provider Identifier
1649586579
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36512 Issued in FL
Practice address
338 Farnsworth Ave
Bordentown, NJ 08505-1709
Phone
(609) 298-7773
Fax
(609) 298-1504
NPI assigned
Aug 30, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36512 FL Primary

Addresses

Primary practice location

338 Farnsworth Ave
Bordentown, NJ 08505-1709

Mailing address

338 Farnsworth Ave
PO Box 227
Bordentown, NJ 08505-1709
Phone (609) 298-7773

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

State licenses

LicenseStateTypeSpecialty
36512FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1649586579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 FARNSWORTH AVE",
            "address_2": "PO BOX 227",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051709",
            "telephone_number": "609-298-7773",
            "fax_number": "609-298-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051709",
            "telephone_number": "609-298-7773",
            "fax_number": "609-298-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAMANENI",
        "first_name": "SATYANARAYANA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "36512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.