Organization Active NPI

Reddy Medical Associates PC

Doing business as Boonsboro Pharmacy

  • Community/Retail Pharmacy
  • Lynchburg, VA
National Provider Identifier
1659527075
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004238 Issued in VA
Legal business name
REDDY MEDICAL ASSOCIATES PC
Doing business as
Boonsboro Pharmacy
Practice address
4925 Boonsboro Rd
Lynchburg, VA 24503-2207
Phone
(434) 455-1211
Fax
(434) 455-1201
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Ram R Neravetla
Title
President
Phone
(804) 329-0077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0210004238 VA
Community/Retail Pharmacy 3336C0003X 0201004238 VA Primary
Compounding Pharmacy 3336C0004X 0201004238 VA

Addresses

Primary practice location

4925 Boonsboro Rd
Lynchburg, VA 24503-2207

Mailing address

4925 Boonsboro Rd
Lynchburg, VA 24503-2207
Phone (434) 455-1211

Other identifiers 1

IdentifierTypeStateIssuer
0201004238OtherVAPHARMACY LICENSE

Other names 1

  • Boonsboro Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boonsboro Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1659527075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 BOONSBORO RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032207",
            "telephone_number": "434-455-1211",
            "fax_number": "434-455-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 BOONSBORO RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032207",
            "telephone_number": "434-455-1211",
            "fax_number": "434-455-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "NERAVETLA",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-329-0077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0210004238",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004238",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VA",
            "license": "0201004238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "0201004238",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boonsboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.