Provider Demographics
NPI:1073015178
Name:VENATI, HYMAVATHI (RPH)
Entity type:Individual
Prefix:
First Name:HYMAVATHI
Middle Name:
Last Name:VENATI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 OLDE ALPHE CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9366
Mailing Address - Country:US
Mailing Address - Phone:919-338-2471
Mailing Address - Fax:
Practice Address - Street 1:3500 DAVIS DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8819
Practice Address - Country:US
Practice Address - Phone:919-455-0545
Practice Address - Fax:919-455-0545
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist