Active NPI
Anji Reddy Kurray
- Pharmacist
- Yuma, AZ
National Provider Identifier
1871824607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S016962
- Practice address
- Walgreens
2491 W 24TH St
Yuma, AZ 85364 - Phone
- (928) 341-0589
- NPI assigned
- Jan 19, 2010
- Last updated
- May 10, 2017
- 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 | S016962 | AZ | Primary |
Addresses
Primary practice location
Walgreens
2491 W 24TH St
Yuma, AZ 85364
Mailing address
Walgreens
2491 W 24TH St
Yuma, AZ 85364
Phone (928) 341-0589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D05868086 | Other | AZ | DRIVER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S016962 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1871824607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALGREENS",
"address_2": "2491 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-341-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALGREENS",
"address_2": "2491 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-341-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURRAY",
"first_name": "ANJI",
"middle_name": "REDDY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-19",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "D05868086",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.