Sudhir Kumar Shrivastava

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302039194 Issued in MI

Practice address

8033 E 10 Mile Rd Ste 103
Center Line, MI 48015-1454

Phone

(586) 427-5344

NPI assigned

Feb 7, 2022

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

Practice roles

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.

• Centerline City Pharmacy LLC

  • Community/Retail Pharmacy
  • Center Line, MI
  • NPI 1538424858
  NPD (past)
• Centerline Pharmacy LLC

  • Community/Retail Pharmacy
  • Center Line, MI
  • NPI 1760616189
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1073267332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "248-659-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 103",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "586-427-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "SUDHIR",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Stanley Sczechowski, D.D.S.
• Erin Searles, LMSW
• Melissa Ann Serra, LMSW
• Atul C. Shah, M.D.
• Victoria Shank
• Amanda Lynn Sidelko, RN
• Lorelei Olivia Siemasz, LLMSW
• Jannine Silcock, RN
• Carolyn Jean Simon, LPC
• Tatyanna Simpson

• Pharmacist in Center Line, MI
• Providers in Center Line, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.