Active NPI
Muralidharan Kurup, PHARMD
- Pharmacist
- Saint Clair Shores, MI
National Provider Identifier
1013204635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302040445
- Practice address
- 24800 Harper Ave Ste 2
Saint Clair Shores, MI 48080-1292 - Phone
- (586) 359-2326
- Fax
- (586) 200-2051
- NPI assigned
- Jul 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302040445 | MI | Primary |
Addresses
Primary practice location
24800 Harper Ave Ste 2
Saint Clair Shores, MI 48080-1292
Mailing address
34782 Moravian Dr Apt 217
Sterling Heights, MI 48312-5451
Phone (773) 574-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040445 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madhav Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Saint Clair Shores, MI
- NPI 1265865372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588464000000",
"number": "1013204635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34782 MORAVIAN DR APT 217",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125451",
"telephone_number": "773-574-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 HARPER AVE STE 2",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801292",
"telephone_number": "586-359-2326",
"fax_number": "586-200-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUP",
"first_name": "MURALIDHARAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-03",
"last_updated": "2020-05-03",
"certification_date": "2020-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.