Active NPI
Giridhar V Athmakuri, PHARMACIST
- Pharmacist
- Utica, NY
National Provider Identifier
1023340676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055496
- Practice address
- 430 Bleecker St
Utica, NY 13501-2336 - Phone
- (315) 732-6915
- Fax
- (315) 732-6641
- NPI assigned
- Feb 8, 2010
- Last updated
- Jun 13, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444355 | PA | |
| Pharmacist | 183500000X | 28RI03127800 | NJ | |
| Pharmacist | 183500000X | 20198 | NC | |
| Pharmacist | 183500000X | 055496 | NY | Primary |
Addresses
Primary practice location
430 Bleecker St
Utica, NY 13501-2336
Mailing address
430 Bleecker St
Utica, NY 13501-2336
Phone (315) 732-6915
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20198 | NC | MD | Mental Health Counselor |
| 055496 | NY | MD | Dentist |
| 28RI03127800 | NJ | MD | Pharmacist |
| RP444355 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobs Pharmacy LLC | Current | Accepting new patients | |
| Bobs Pharmacy LLC | Current | Accepting new patients | |
| JT Medical Services, Inc. | Past | Accepting new patients | |
| Cure and Care Drugs Inc | Past | Accepting new patients |
Locations
430 Bleecker St
Utica, NY 13501
Phone (315) 732-6915
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Utica, NY
- NPI 1225871767
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1497237622
-
- Case Manager/Care Coordinator
- Wauwatosa, WI
- NPI 1629390729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1023340676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 BLEECKER ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135012336",
"telephone_number": "315-732-6915",
"fax_number": "315-732-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 BLEECKER ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135012336",
"telephone_number": "315-732-6915",
"fax_number": "315-732-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHMAKURI",
"first_name": "GIRIDHAR",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-08",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444355",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03127800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20198",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.