Individual provider Active NPI

Venkateshwar Basani, PHARMACIST

  • Pharmacist
  • Biddeford, ME
National Provider Identifier
1740767870
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR5718 Issued in ME
Practice address
50 Boulder Way
Biddeford, ME 04005-9442
Phone
(207) 286-9562
Fax
(207) 286-9576
NPI assigned
Jul 21, 2018
Last updated
Jul 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR5718 ME Primary

Addresses

Primary practice location

50 Boulder Way
Biddeford, ME 04005-9442

Mailing address

15 Tamarack LN
Scarborough, ME 04074-9844
Phone (207) 671-5939

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

LicenseStateTypeSpecialty
PR5718MEMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1740767870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TAMARACK LN",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749844",
            "telephone_number": "207-671-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BOULDER WAY",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059442",
            "telephone_number": "207-286-9562",
            "fax_number": "207-286-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASANI",
        "first_name": "VENKATESHWAR",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-21",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.