Provider Demographics
NPI:1427158419
Name:CHILAKAPATI, PRADEEP (RPH)
Entity type:Individual
Prefix:MR
First Name:PRADEEP
Middle Name:
Last Name:CHILAKAPATI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ALBE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1360
Mailing Address - Country:US
Mailing Address - Phone:302-369-5520
Mailing Address - Fax:302-369-5853
Practice Address - Street 1:31 ALBE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1360
Practice Address - Country:US
Practice Address - Phone:302-369-5520
Practice Address - Fax:302-369-5853
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41158183500000X
DEA1-00041251835C0207X
MI5302035496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations