Individual provider Active NPI

Satish Yelamanchili

  • Pharmacist
  • Fredericksburg, VA
National Provider Identifier
1669771770
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202208289 Issued in VA
Practice address
5229 Jefferson Davis Hwy
Fredericksburg, VA 22408-2605
Phone
(540) 710-0034
Fax
(540) 710-7931
NPI assigned
Mar 16, 2011
Reactivated
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 0202208289 VA Primary

Addresses

Primary practice location

5229 Jefferson Davis Hwy
Fredericksburg, VA 22408-2605

Mailing address

5229 Jefferson Davis Hwy
Fredericksburg, VA 22408-2605
Phone (540) 710-0034

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
0202208289VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hub City Pharmacy LLC Current Accepting new patients
Hillrise Pharmacy LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1669771770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082605",
            "telephone_number": "540-710-0034",
            "fax_number": "540-710-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082605",
            "telephone_number": "540-710-0034",
            "fax_number": "540-710-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELAMANCHILI",
        "first_name": "SATISH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "deactivation_date": "2018-03-09",
        "reactivation_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.