Active NPI
Praveen R Kaluvala, RPH
- Pharmacist
- Madison, NJ
National Provider Identifier
1740557347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55990
- Practice address
- 42 Main St
Apt B
Madison, NJ 07940 - Phone
- (973) 377-0009
- NPI assigned
- Nov 27, 2011
- Sex
- Male
- 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 | 28RI03470800 | NJ | |
| Pharmacist | 183500000X | 55990 | TX | Primary |
Addresses
Primary practice location
42 Main St
Apt B
Madison, NJ 07940
Mailing address
2710 S Clear Creek Rd Apt 113
Killeen, TX 76549-6686
Phone (254) 781-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18350 | Other | NJ | PHARMACIST |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03470800 | NJ | MD | Pharmacist |
| 55990 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Care Pharmacy Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba BELL Rx DISCOUNT PHARMACY
- Community/Retail Pharmacy
- Killeen, TX
- NPI 1740792704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1740557347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 S CLEAR CREEK RD APT 113",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496686",
"telephone_number": "254-781-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MAIN ST",
"address_2": "APT B",
"city": "MADISON",
"state": "NJ",
"postal_code": "07940",
"telephone_number": "973-377-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALUVALA",
"first_name": "PRAVEEN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-27",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03470800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "18350",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.