Active NPI
Amar Venkata Naga Padmanabhuni, MS RPH
- Pharmacist
- Claymont, DE
National Provider Identifier
1972851590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0004128
- Practice address
- 2714 Philadelphia Pike
Claymont, DE 19703-2568 - Phone
- (302) 791-9899
- Fax
- (302) 319-3449
- NPI assigned
- Aug 29, 2012
- 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 | A1-0004128 | DE | Primary |
| Pharmacist | 183500000X | 16816 | MD |
Addresses
Primary practice location
2714 Philadelphia Pike
Claymont, DE 19703-2568
Mailing address
2714 Philadelphia Pike
Claymont, DE 19703-2568
Phone (302) 791-9899
Other names 1
- Venkata Naga Amar Padmanabhoni
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16816 | MD | MD | Clinical Social Worker |
| A1-0004128 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenmax LLC | Current | Accepting new patients | |
| Grubbs Pharmacy, LLC | Current | Accepting new patients |
Locations
2714 Philadelphia Pike
Claymont, DE 19703
Phone (302) 408-7310
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1972851590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 PHILADELPHIA PIKE",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032568",
"telephone_number": "302-791-9899",
"fax_number": "302-319-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 PHILADELPHIA PIKE",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032568",
"telephone_number": "302-791-9899",
"fax_number": "302-319-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADMANABHUNI",
"first_name": "AMAR",
"middle_name": "VENKATA NAGA",
"name_prefix": "Mr.",
"credential": "MS RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004128",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VENKATA",
"last_name": "PADMANABHONI",
"middle_name": "NAGA AMAR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Claymont, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.