NPIMap

Individual provider Active NPI

Veera Reddy Guda

  • Pharmacist
  • Petersburg, VA
National Provider Identifier
1831497064
Registry record updated Mar 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207785 Issued in VA
Practice address
4310 Westgate Rd
Petersburg, VA 23803-6571
Phone
(804) 732-0719
Fax
(804) 733-7609
NPI assigned
Mar 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202207785 VA Primary

Addresses

Primary practice location

4310 Westgate Rd
Petersburg, VA 23803-6571

Mailing address

4310 Westgate Rd
Petersburg, VA 23803-6571
Phone (804) 732-0719

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
0202207785VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation Past Accepting new patients
Eckerd Corporation Past 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": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299888000000",
    "number": "1831497064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 WESTGATE RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238036571",
            "telephone_number": "804-732-0719",
            "fax_number": "804-733-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 WESTGATE RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238036571",
            "telephone_number": "804-732-0719",
            "fax_number": "804-733-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDA",
        "first_name": "VEERA",
        "middle_name": "REDDY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-12",
        "last_updated": "2011-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; 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.