Individual provider Active NPI

Veera Reddy E Nadakatla, PHARMACIST

  • Pharmacist
  • Maywood, NJ
National Provider Identifier
1801036678
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02512100 Issued in NJ
Practice address
102 W Pleasant Ave
Maywood, NJ 07607-1336
Phone
(201) 880-5290
Fax
(201) 880-5291
NPI assigned
Mar 5, 2009
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02512100 NJ Primary
Pharmacist 183500000X 28RI02515100 NJ

Addresses

Primary practice location

102 W Pleasant Ave
Maywood, NJ 07607-1336

Mailing address

106 Harrison Ave
Colonia, NJ 07067-2229
Phone (732) 581-2071

Other practice location 1

851 Elizabeth Ave
Elizabeth, NJ 07201-2755
Phone (908) 353-6653

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
28RI02512100NJMDPharmacist
28RI02515100NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maywood RX Inc PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1801036678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HARRISON AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672229",
            "telephone_number": "732-581-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PLEASANT AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071336",
            "telephone_number": "201-880-5290",
            "fax_number": "201-880-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012755",
            "country_code": "US",
            "telephone_number": "908-353-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAKATLA",
        "first_name": "VEERA REDDY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02512100",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02515100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.