Individual provider Active NPI

Jyothsna Peraty

  • Pharmacist
  • Allentown, PA
National Provider Identifier
1669710745
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446571 Issued in PA
Practice address
1606 W Allen St
Allentown, PA 18102-2012
Phone
(610) 437-8800
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446571 PA Primary

Addresses

Primary practice location

1606 W Allen St
Allentown, PA 18102-2012

Mailing address

2173 San Moritz Cir
Apt # 202
Herndon, VA 20170-5952
Phone (732) 429-4694

Other identifiers 1

IdentifierTypeStateIssuer
RP446571OtherPAPENNSYLVANIA BOARD OF PHARMACY

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
RP446571PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SMS RX Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1669710745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 SAN MORITZ CIR",
            "address_2": "APT # 202",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705952",
            "telephone_number": "732-429-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 W ALLEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022012",
            "telephone_number": "610-437-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERATY",
        "first_name": "JYOTHSNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BOARD OF PHARMACY",
            "identifier": "RP446571",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.