Active NPI
Shayla Venkatesh
- Pharmacist
- Chandler, AZ
National Provider Identifier
1689053076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40122
- Practice address
- 271 W Yellowstone Way
Chandler, AZ 85248-5239 - Phone
- (817) 846-9558
- NPI assigned
- May 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40122 | TX | Primary |
| Pharmacist | 183500000X | S017763 | AZ |
Addresses
Primary practice location
271 W Yellowstone Way
Chandler, AZ 85248-5239
Mailing address
271 W Yellowstone Way
Chandler, AZ 85248-5239
Phone (214) 403-2514
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 |
|---|---|---|---|
| S017763 | AZ | MD | Pharmacist |
| 40122 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1689053076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 W YELLOWSTONE WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852485239",
"telephone_number": "214-403-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 W YELLOWSTONE WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852485239",
"telephone_number": "817-846-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATESH",
"first_name": "SHAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40122",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.