Active NPI
Utkarsh Suketu Desai, PHARM.D
- Pharmacist
- Gaithersburg, MD
National Provider Identifier
1023417672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22733
- Practice address
- 12215 Darnestown Rd
Gaithersburg, MD 20878-2203 - Phone
- (301) 948-8010
- NPI assigned
- Aug 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22733 | MD | Primary |
| Pharmacist | 183500000X | 0202213105 | VA |
Addresses
Primary practice location
12215 Darnestown Rd
Gaithersburg, MD 20878-2203
Mailing address
111 Teachers Way Apt 1099
Gaithersburg, MD 20877-3266
Phone (850) 524-5975
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 |
|---|---|---|---|
| 22733 | MD | MD | Pharmacist |
| 0202213105 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1023417672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TEACHERS WAY APT 1099",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208773266",
"telephone_number": "850-524-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12215 DARNESTOWN RD",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782203",
"telephone_number": "301-948-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "UTKARSH",
"middle_name": "SUKETU",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22733",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202213105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.