Active NPI
Srinivasa Rao Malladi, R.PH
- Pharmacist
- East Windsor, NJ
National Provider Identifier
1144575713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03275500
- Practice address
- 350 Route 130
East Windsor, NJ 08520-2715 - Phone
- (609) 443-5100
- NPI assigned
- Jul 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI03275500 | NJ | Primary |
| Pharmacist | 183500000X | 056502-1 | NY |
Addresses
Primary practice location
350 Route 130
East Windsor, NJ 08520-2715
Mailing address
1511 Quail Ridge Dr
Plainsboro, NJ 08536-4004
Phone (609) 716-9130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03275500 | NJ | MD | Pharmacist |
| 056502-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1144575713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 QUAIL RIDGE DR",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085364004",
"telephone_number": "609-716-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ROUTE 130",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085202715",
"telephone_number": "609-443-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLADI",
"first_name": "SRINIVASA RAO",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03275500",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056502-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.