Active NPI
Nagi Reddy Pallapolu
- Pharmacist
- Astoria, NY
National Provider Identifier
1699001933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PENDING
- Practice address
- 2650 4TH St
Astoria, NY 11102-4126 - Phone
- (718) 777-1100
- Fax
- (718) 777-5276
- NPI assigned
- Oct 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | PENDING | NY | Primary |
Addresses
Primary practice location
2650 4TH St
Astoria, NY 11102-4126
Mailing address
2650 4TH St
Astoria, NY 11102-4126
Phone (718) 777-1100
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 |
|---|---|---|---|
| PENDING | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GSR Pharmacy Inc | Current | Accepting new patients | |
| Anish Pharmacy | 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.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Long Island City, NY
- NPI 1467517623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1699001933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 4TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024126",
"telephone_number": "718-777-1100",
"fax_number": "718-777-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 4TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024126",
"telephone_number": "718-777-1100",
"fax_number": "718-777-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAPOLU",
"first_name": "NAGI",
"middle_name": "REDDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.