Active NPI
Trivikram Kanumuri
- Pharmacist
- Keansburg, NJ
National Provider Identifier
1922431956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03126400
- Practice address
- 199 Main St
Keansburg, NJ 07734-1734 - Phone
- (732) 787-1414
- NPI assigned
- Aug 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI03126400 | NJ | Primary |
| Pharmacist | 183500000X | 058258 | NY |
Addresses
Primary practice location
199 Main St
Keansburg, NJ 07734-1734
Mailing address
199 Main St
Keansburg, NJ 07734-1734
Phone (732) 787-1414
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 |
|---|---|---|---|
| 28RI03126400 | NJ | MD | Pharmacist |
| 058258 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo Hopp Pharmacy LLC | Current | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1336966555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1922431956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 MAIN ST",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077341734",
"telephone_number": "732-787-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MAIN ST",
"city": "KEANSBURG",
"state": "NJ",
"postal_code": "077341734",
"telephone_number": "732-787-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANUMURI",
"first_name": "TRIVIKRAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03126400",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058258",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keansburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.