Individual provider Active NPI

Santosh Kumar Dwarakanath, RPH

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1104859537
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17514 Issued in MD
Practice address
700 Washington Blvd
Pharmerica
Baltimore, MD 21230-2350
Phone
(410) 539-4986
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17514 MD Primary

Addresses

Primary practice location

700 Washington Blvd
Pharmerica
Baltimore, MD 21230-2350

Mailing address

6911 Old Waterloo Rd
Elkridge, MD 21075-6529
Phone (443) 992-4720

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17514MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Drugs LLC Current Accepting new patients
Health and Pharma Strategies LLC Current Accepting new patients
North East Drugs LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1104859537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756529",
            "telephone_number": "443-992-4720",
            "fax_number": "866-778-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON BLVD",
            "address_2": "PHARMERICA",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302350",
            "telephone_number": "410-539-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWARAKANATH",
        "first_name": "SANTOSH",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.