Madhusudhan Reddy

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

39364 Issued in SC

Practice address

3321 Platt Springs Rd
West Columbia, SC 29170-2203

Phone

(803) 708-1226

Fax

(803) 708-1229

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Privilege Pharmacy Inc

  • Community/Retail Pharmacy
  • West Columbia, SC
  • NPI 1649670969
  NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1124422050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PLATT SPRINGS RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702203",
            "telephone_number": "803-708-1226",
            "fax_number": "803-708-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 PLATT SPRINGS RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702203",
            "telephone_number": "803-708-1226",
            "fax_number": "803-708-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MADHUSUDHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "15351",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "SC",
            "license": "39364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan W Rawl, M.D.
• Robert Dustin Rawlinson, MD
• Kerri Baston Ray, APRN
• Phyllis Raynor
• RBX Diagnostics LLC
• Shailaja Reddypalli
• Rheaann B Redmond, OT
• April J Reed, PHARMD
• Rebecca Ruff Reed, FNP-BC
• Leigh Ann Reedy, LISW-CP

• Pharmacy Technician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pharmacy Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.