NPIMap

Individual provider Active NPI

Hemanth Sambaraju

  • Pharmacist
  • Berlin, NJ
National Provider Identifier
1770899775
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03103600 Issued in NJ
Practice address
186 South White Horse Pike
Berlin, NJ 08009-9393
Phone
(856) 768-0440
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03103600 NJ Primary

Addresses

Primary practice location

186 South White Horse Pike
Berlin, NJ 08009-9393

Mailing address

132 Golden Meadow LN
Sicklerville, NJ 08081-9393
Phone (856) 269-9361

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
28RI03103600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SPP Pharma Inc Current Accepting new patients
Eckerd Corporation Past Accepting new patients
Eckerd Corporation Past Accepting new patients

Organizations & group practices 3

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1770899775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 GOLDEN MEADOW LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819393",
            "telephone_number": "856-269-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 SOUTH WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099393",
            "telephone_number": "856-768-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBARAJU",
        "first_name": "HEMANTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03103600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.