Individual provider Active NPI

Chiranjivi Bharath Jannu, R.PH., C,PH

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1831219336
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS43238 Issued in FL
Practice address
3940 W Hillsborough Ave
Tampa, FL 33614-5628
Phone
(813) 874-2900
Fax
(813) 874-2909
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PSI17968 FL
Pharmacist 183500000X RP443524 PA
Pharmacist 183500000X PU7063 FL
Pharmacist 183500000X PS43238 FL Primary

Addresses

Primary practice location

3940 W Hillsborough Ave
Tampa, FL 33614-5628

Mailing address

1592 Route 739
Dingmans Ferry, PA 18328-3513
Phone (646) 673-0044

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
PS43238FLMDPharmacist
PSI17968FLMDPharmacist
PU7063FLMDPharmacist
RP443524PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JRX Pharmacy LLC PastSince Oct 30, 2022 Accepting new patients
JRX Pharmacy PastSince Oct 30, 2022 Accepting new patients

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1831219336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 ROUTE 739",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183283513",
            "telephone_number": "646-673-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145628",
            "telephone_number": "813-874-2900",
            "fax_number": "813-874-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNU",
        "first_name": "CHIRANJIVI",
        "middle_name": "BHARATH",
        "name_prefix": "Mr.",
        "credential": "R.PH., C,PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-10-28",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI17968",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443524",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU7063",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.