Individual provider Active NPI

Sridevi Panuganti

  • Pharmacist
  • Haddon Township, NJ
National Provider Identifier
1659095396
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04095300 Issued in NJ
Practice address
650 W Cuthbert Blvd
Haddon Township, NJ 08108-3642
Phone
(856) 833-1710
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04095300 NJ Primary

Addresses

Primary practice location

650 W Cuthbert Blvd
Haddon Township, NJ 08108-3642

Mailing address

136 Briarwood LN
Colmar, PA 18915-3101
Phone (570) 236-7112

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sridevi.Panuganti@CVSHealth.com Direct

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

LicenseStateTypeSpecialty
28RI04095300NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1659095396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BRIARWOOD LN",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189153101",
            "telephone_number": "570-236-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W CUTHBERT BLVD",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081083642",
            "telephone_number": "856-833-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANUGANTI",
        "first_name": "SRIDEVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04095300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sridevi.Panuganti@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "cvs email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 W Cuthbert Blvd",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081083642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.