Raja Idupulapati

Primary specialty

PharmacistTaxonomy code 183500000X

License

033.0003804 Issued in VT

Practice address

47 Executive Dr
Shelburne, VT 05482-7142

Phone

(802) 985-0008

Fax

(802) 985-0011

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #107

  • Community/Retail Pharmacy
  • Shelburne, VT
  • NPI 1104183524
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1851743256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 SHELBURNE RD",
            "address_2": "APT 102",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054016946",
            "telephone_number": "802-985-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 EXECUTIVE DR",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827142",
            "telephone_number": "802-985-0008",
            "fax_number": "802-985-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDUPULAPATI",
        "first_name": "RAJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horizon Counseling, LLC
• Howard Center Inc (Lakeview)
• Chelsea Hoy, LICSW
• Michael C Hunter, LCMHC, LADC
• Malcolm Hutt
• Infant Development Team, LLC
• Integrity Wound Care Plus LLC
• J Adams Psychotherapy and Clinical Counseling Services
• J Adams Psychotherapy and Clinical Counseling Services
• Janet E. Thomason

• Pharmacist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.