Individual provider Active NPI

Jyothi Swaroop Gandikota, PHARMACIST

  • Pharmacist
  • Floyds Knobs, IN
National Provider Identifier
1063644417
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26022487A Issued in IN
Practice address
810 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone
(812) 923-8829
Fax
(812) 923-9753
NPI assigned
Aug 19, 2009
Last updated
Aug 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26022487A IN Primary

Addresses

Primary practice location

810 Highlander Point Dr
Floyds Knobs, IN 47119-9470

Mailing address

1016 Stone Spring Way
Louisville, KY 40223-3638

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

LicenseStateTypeSpecialty
26022487AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1063644417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 STONE SPRING WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HIGHLANDER POINT DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199470",
            "telephone_number": "812-923-8829",
            "fax_number": "812-923-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIKOTA",
        "first_name": "JYOTHI SWAROOP",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyds Knobs, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.