Individual provider Active NPI

Jhansi Lakshmi Chinnam, RPH

  • Pharmacist
  • Berlin, MD
National Provider Identifier
1750674933
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19502 Issued in MD
Practice address
10119 Old Ocean City Blvd
Riteaid#319
Berlin, MD 21811-1143
Phone
(410) 629-0539
Fax
(410) 629-0554
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19502 MD Primary
Pharmacist 183500000X PH232441 MA

Addresses

Primary practice location

10119 Old Ocean City Blvd
Riteaid#319
Berlin, MD 21811-1143

Mailing address

10119 Old Ocean City Blvd
Riteaid#319
Berlin, MD 21811-1143
Phone (410) 629-0539

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

LicenseStateTypeSpecialty
PH232441MAMDPharmacist
19502MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1750674933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 OLD OCEAN CITY BLVD",
            "address_2": "RITEAID#319",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111143",
            "telephone_number": "410-629-0539",
            "fax_number": "410-629-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 OLD OCEAN CITY BLVD",
            "address_2": "RITEAID#319",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111143",
            "telephone_number": "410-629-0539",
            "fax_number": "410-629-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNAM",
        "first_name": "JHANSI",
        "middle_name": "LAKSHMI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19502",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH232441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.