Organization Active NPI

A-Dr Reddy Pharmacy

  • Community/Retail Pharmacy
  • Victorville, CA
National Provider Identifier
1912237108
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50180 Issued in CA
Legal business name
A-DR REDDY PHARMACY
Practice address
12998 Hesperia Rd
Ste 102
Victorville, CA 92395-8316
Phone
(760) 948-3058
NPI assigned
Jan 11, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Swapna Reddy, RHPNPI 1306270921
Title
Owner/Pharmacist
Phone
(760) 881-0417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50180 CA Primary

Addresses

Primary practice location

12998 Hesperia Rd
Ste 102
Victorville, CA 92395-8316

Mailing address

12998 Hesperia Rd
Ste 102
Victorville, CA 92395-8316
Phone (760) 948-3058

National Provider Directory

National Provider Directory

Locations

12998 Hesperia Rd
Ste 102
Victorville, CA 92395
Phone (760) 241-0508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1912237108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD",
            "address_2": "STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958316",
            "telephone_number": "760-948-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD",
            "address_2": "STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958316",
            "telephone_number": "760-948-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-DR REDDY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "760-881-0417",
        "authorized_official_credential": "RHP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.