Active NPI
Vanaja Reddy Manda, BS
- Pharmacist
- Eugene, OR
National Provider Identifier
1780958934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0009179
- Practice address
- 2828 Chad Dr
Eugene, OR 97408-7336 - Phone
- (541) 342-5701
- Fax
- (541) 285-2016
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0009179 | OR | Primary |
Addresses
Primary practice location
2828 Chad Dr
Eugene, OR 97408-7336
Mailing address
3384 Bailey LN
Eugene, OR 97401-7055
Phone (541) 686-2181
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0009179 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1780958934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3384 BAILEY LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017055",
"telephone_number": "541-686-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 CHAD DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087336",
"telephone_number": "541-342-5701",
"fax_number": "541-285-2016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDA",
"first_name": "VANAJA",
"middle_name": "REDDY",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0009179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.