Active NPI
Prakash Rao Janagama
- Pharmacist
- Newark, DE
National Provider Identifier
1912343872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03210800
- Practice address
- 1 Glennwood Dr
Newark, DE 19702-3765 - Phone
- (732) 668-8783
- NPI assigned
- May 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03210800 | NJ | Primary |
| Pharmacist | 183500000X | 17650 | MD |
Addresses
Primary practice location
1 Glennwood Dr
Newark, DE 19702-3765
Mailing address
1 Glennwood Dr
Newark, DE 19702-3765
Phone (732) 668-8783
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 |
|---|---|---|---|
| 17650 | MD | MD | Pharmacist |
| 28RI03210800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1912343872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GLENNWOOD DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023765",
"telephone_number": "732-668-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GLENNWOOD DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023765",
"telephone_number": "732-668-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANAGAMA",
"first_name": "PRAKASH",
"middle_name": "RAO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03210800",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17650",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.