VENKATA GANGADHAR BODDULURI
NPI 1205092913
Pharmacist in Fayetteville, NC

Active since August 01, 2008
1072 SOUTHERN AVE, FAYETTEVILLE, NC 28306(910) 484-0159(910) 484-3270 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Venkata Gangadhar Bodduluri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VENKATA GANGADHAR BODDULURI (NPI 1205092913) is an individual pharmacist in Fayetteville, North Carolina, licensed in North Carolina (20199) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1205092913
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameVENKATA GANGADHAR BODDULURI
Location Address1072 SOUTHERN AVEFayetteville, NC 28306-1766
Mailing Address1072 Southern AveFayetteville, NC 28306-1766 · (910) 484-0159 · Fax (910) 484-3270
Fax(910) 484-3270
Sole ProprietorNo
Enumeration DateAugust 1, 2008
Last NPPES UpdateJune 9, 2009
NPI 1205092913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NC · 20199
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1072 SOUTHERN AVE, Fayetteville, NC 28306

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Pharmacist
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Pharmacy (Community/Retail Pharmacy)
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Venkata Bodduluri's NPI number?

The NPI number for Venkata Bodduluri is 1205092913. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Venkata Bodduluri located?

Venkata Bodduluri practices at 1072 Southern Ave, Fayetteville, NC 28306. The listed phone number is (910) 484-0159.

What is Venkata Bodduluri's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Venkata Bodduluri was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.