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1790263309 NPI number — BHUVANESWARI POTTI PHARM D

NPI Number: 1790263309
Health Care Provider/Practitioner: BHUVANESWARI POTTI PHARM D

Information about “1790263309” NPI (BHUVANESWARI POTTI PHARM D) exists in 1790263309 in HTML format HTML  |  1790263309 in plain Text format TXT  |  1790263309 in PDF (Portable Document Format) PDF  |  1790263309 in an XML format XML  formats.

NPI Number : 1790263309 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790263309",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POTTI",
    "FirstName": "BHUVANESWARI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1010 SUNDANCE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BENTONVILLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72712-4328",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-652-1640",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2404 S PROMENADE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROGERS",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72758-9080",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-986-1101",
    "PracticeLocationAddressFaxNumber": "479-986-1111",
    "EnumerationDate": "08/06/2018",
    "LastUpdateDate": "05/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "28RI03918800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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