Active NPI
Bhargavi Vittala
- Pharmacy Technician
- Sterling, VA
National Provider Identifier
1720478241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0230009693
- Practice address
- 46201 Potomac Run PLZ
Sterling, VA 20164-6609 - Phone
- (703) 444-8440
- NPI assigned
- Feb 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230009693 | VA | Primary |
Addresses
Primary practice location
46201 Potomac Run PLZ
Sterling, VA 20164-6609
Mailing address
46201 Potomac Run PLZ
Sterling, VA 20164-6609
Phone (703) 444-8440
Other names 1
- Bhargavi Mamidala
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 |
|---|---|---|---|
| 0230009693 | VA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1720478241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46201 POTOMAC RUN PLZ",
"city": "STERLING",
"state": "VA",
"postal_code": "201646609",
"telephone_number": "703-444-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46201 POTOMAC RUN PLZ",
"city": "STERLING",
"state": "VA",
"postal_code": "201646609",
"telephone_number": "703-444-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITTALA",
"first_name": "BHARGAVI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VA",
"license": "0230009693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BHARGAVI",
"last_name": "MAMIDALA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.