Active NPI
Venkata Satish Nagineni
- Pharmacist
- Mount Jackson, VA
National Provider Identifier
1649865817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207502
- Practice address
- 5350 Main St
Mount Jackson, VA 22842-9511 - Phone
- (318) 436-9015
- NPI assigned
- Mar 9, 2021
- Last updated
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202207502 | VA | Primary |
Addresses
Primary practice location
5350 Main St
Mount Jackson, VA 22842-9511
Mailing address
5350 Main St
Mount Jackson, VA 22842-9511
Phone (318) 436-9015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207502 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Jackson Drug Store Inc | Past | Accepting new patients | |
| DKKP Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mt Jackson Drug Store
- Community/Retail Pharmacy
- Mount Jackson, VA
- NPI 1346322120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1649865817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 MAIN ST",
"city": "MOUNT JACKSON",
"state": "VA",
"postal_code": "228429511",
"telephone_number": "318-436-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 MAIN ST",
"city": "MOUNT JACKSON",
"state": "VA",
"postal_code": "228429511",
"telephone_number": "318-436-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGINENI",
"first_name": "VENKATA",
"middle_name": "SATISH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Jackson, VA
- Jared Alan Morris
- Mount Jackson Dental Care, PLLC
- Mt Jackson Drug Store Inc (Mt Jackson Drug Store)
- Mt. Jackson Family Health
- Kathleen L Muiruri, M.D.
- North Mountain Dietetic Services, LLC
- Janet L Polansky, MD
- Mohammed Saad, M.D.
- Shenandoah Memorial Hospital (Shenandoah Physical Therapy)
- Shenandoah Memorial Hospital Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.