Active NPI
Deepa S Sukhatankar
- Pharmacist
- Holly Springs, NC
National Provider Identifier
1679881650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16963
- Practice address
- 151 Village Walk Dr
Holly Springs, NC 27540-7680 - Phone
- (919) 552-5378
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16963 | NC | Primary |
Addresses
Primary practice location
151 Village Walk Dr
Holly Springs, NC 27540-7680
Mailing address
307 Buckland Mills CT
Cary, NC 27513-4284
Phone (919) 535-8058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16963 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | 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 and National Provider Directory roles.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
-
- Pharmacy
- Holly Springs, NC
- NPI 1811136880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1679881650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BUCKLAND MILLS CT",
"city": "CARY",
"state": "NC",
"postal_code": "275134284",
"telephone_number": "919-535-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 VILLAGE WALK DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407680",
"telephone_number": "919-552-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKHATANKAR",
"first_name": "DEEPA",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.