Active NPI
Amburose Mariagnanaprakasam, RPH
- Pharmacist
- Beckley, WV
National Provider Identifier
1851843247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0008011
- Practice address
- 1802 Harper Rd
Beckley, WV 25801-3375 - Phone
- (304) 252-1111
- NPI assigned
- Nov 1, 2016
- Last updated
- Nov 1, 2016
- Sex
- Male
- 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 | RP0008011 | WV | Primary |
Addresses
Primary practice location
1802 Harper Rd
Beckley, WV 25801-3375
Mailing address
125 Goldfinch Dr
Shady Spring, WV 25918-8468
Phone (304) 673-3969
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0008011 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BP3 LLC | Past | 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": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1851843247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GOLDFINCH DR",
"city": "SHADY SPRING",
"state": "WV",
"postal_code": "259188468",
"telephone_number": "304-673-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013375",
"telephone_number": "304-252-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIAGNANAPRAKASAM",
"first_name": "AMBUROSE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.