Active NPI
Vineeta Kannan
- Pharmacist
- Bernalillo, NM
National Provider Identifier
1992364483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH235049
- Practice address
- 203 Sandia Day School Rd.
Bernalillo, NM 87004 - Phone
- (781) 985-2132
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- 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 | PH235049 | MA | Primary |
Addresses
Primary practice location
203 Sandia Day School Rd.
Bernalillo, NM 87004
Mailing address
2401 Wellesley Ave
Albequerque, NM 87107
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 |
|---|---|---|---|
| PH235049 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1992364483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 WELLESLEY AVE",
"city": "ALBEQUERQUE",
"state": "NM",
"postal_code": "87107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 SANDIA DAY SCHOOL RD.",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "87004",
"telephone_number": "781-985-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "VINEETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.