Individual provider Active NPI

Venu G. Maddukuri, PHARMACIST

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1760653711
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
031282 Issued in NY
Practice address
2558 Grand Concourse
Street Level
Bronx, NY 10458-4903
Phone
(718) 364-7070
Fax
(718) 364-3033
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031282 NY Primary
Geriatric Pharmacist 1835G0303X 031282 NY

Addresses

Primary practice location

2558 Grand Concourse
Street Level
Bronx, NY 10458-4903

Mailing address

2558 Grand Concourse
Street Level
Bronx, NY 10458-4903
Phone (718) 364-7070

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anil Pharmacy Inc Pharmacist Current Accepting new patients
Kannayya Pharmacy Inc. Pharmacist Current Accepting new patients

Locations

2558 Grand Concourse
Bronx, NY 10458
Phone (718) 364-7070

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1760653711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 GRAND CONCOURSE",
            "address_2": "STREET LEVEL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584903",
            "telephone_number": "718-364-7070",
            "fax_number": "718-364-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 GRAND CONCOURSE",
            "address_2": "STREET LEVEL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584903",
            "telephone_number": "718-364-7070",
            "fax_number": "718-364-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUKURI",
        "first_name": "VENU",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "031282",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NY",
            "license": "031282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.