Provider Demographics
NPI:1447486220
Name:SWAMI, VENKATA K (BPHARMACY)
Entity type:Individual
Prefix:
First Name:VENKATA
Middle Name:K
Last Name:SWAMI
Suffix:
Gender:M
Credentials:BPHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BIRMINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2345
Mailing Address - Country:US
Mailing Address - Phone:347-414-0554
Mailing Address - Fax:
Practice Address - Street 1:455 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5729
Practice Address - Country:US
Practice Address - Phone:606-499-9468
Practice Address - Fax:860-646-6624
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-07
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist