Active NPI
Syam Bandi
- Pharmacist
- Creedmoor, NC
National Provider Identifier
1992098776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20959
- Practice address
- 1560 High Way 56
Creedmoor, NC 27522 - Phone
- (919) 528-1538
- NPI assigned
- May 26, 2011
- 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 | 20959 | NC | Primary |
Addresses
Primary practice location
1560 High Way 56
Creedmoor, NC 27522
Mailing address
204 Liberty Rose Dr
Morrisville, NC 27560
Phone (815) 342-7535
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 |
|---|---|---|---|
| 20959 | NC | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1992098776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LIBERTY ROSE DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "27560",
"telephone_number": "815-342-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 HIGH WAY 56",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "27522",
"telephone_number": "919-528-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "SYAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creedmoor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.