Active NPI
Reddy Medical Associates PC
Doing business as Boonsboro Pharmacy
- Community/Retail Pharmacy
- Lynchburg, VA
National Provider Identifier
1659527075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201004238
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201004238 | Other | VA | PHARMACY LICENSE |
Other names 1
- Boonsboro Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Boonsboro Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Reddy's Pharmacy
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1528084084
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
- Reaves-Diggs, Parham & Associates
- Reaves-Diggs, Parham & Associates, LLC
- Cara-Leigh Recker
- Rector & Visitors of the University of Virginia (UVA Health Sciences Center)
- Angela R Redcay, OTR/L
- Larry H. Redmond, M.D.
- David Wynne Reese III, PA-C
- Ronald Craig Reese, M.D.
- Jenny E Reeves, LPTA
- Marc Clifford Regan
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.