Active NPI
Raghunath Reddy Bhavanam, B.PHARMACY
- Pharmacist
- Trenton, NJ
National Provider Identifier
1992099162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02959600
- Practice address
- 533 Hamilton Ave
Trenton, NJ 08609-2625 - Phone
- (609) 393-1776
- Fax
- (609) 393-4426
- NPI assigned
- Jun 6, 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 | 28RI02959600 | NJ | Primary |
Addresses
Primary practice location
533 Hamilton Ave
Trenton, NJ 08609-2625
Mailing address
533 Hamilton Ave
Trenton, NJ 08609-2625
Phone (609) 393-1776
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 |
|---|---|---|---|
| 28RI02959600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sri Satya Sai Inc | Past | 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
- Trenton, NJ
- NPI 1164575296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1992099162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 HAMILTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086092625",
"telephone_number": "609-393-1776",
"fax_number": "609-393-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 HAMILTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086092625",
"telephone_number": "609-393-1776",
"fax_number": "609-393-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY BHAVANAM",
"first_name": "RAGHUNATH",
"credential": "B.PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02959600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.