Sambasiva Rao Korrapati

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302041488 Issued in MI

Practice address

147 W Saginaw St
Address Line 2
Hemlock, MI 48626-9541

Phone

(989) 681-8285

Fax

(989) 642-5411

NPI assigned

Aug 22, 2012

Last updated

Dec 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1003164013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 WEISS ST, #O-5",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032716",
            "telephone_number": "954-369-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W SAGINAW ST",
            "address_2": "ADDRESS LINE 2",
            "city": "HEMLOCK",
            "state": "MI",
            "postal_code": "486269541",
            "telephone_number": "989-681-8285",
            "fax_number": "989-642-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRAPATI",
        "first_name": "SAMBASIVA",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-22",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Gaeth
• McKayla Gosselin
• Hemlock Pharmacy LLC (Hemlock Pharmacy)
• Nimra Jawed
• Amanda Amy Keys, PA-C
• Kulhanek Counseling & Wellbeing PLLC
• Anthony P Laframboise, LMSW
• Jakub B Malarz, MD
• Nicholas Jared McKenzie, MA, LPC, CAADC
• Medical Care Innovation, P.C.

• Pharmacist in Hemlock, MI
• Providers in Hemlock, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.