Active NPI
Venkata Srividya Kanduru
- Pharmacist
- Southfield, MI
National Provider Identifier
1184099939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202223170
- Practice address
- 23832 Southfield Rd
Southfield, MI 48075-8000 - Phone
- (248) 557-9333
- Fax
- (248) 557-4970
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202223170 | VA | Primary |
| Pharmacist | 183500000X | 5302041654 | MI | |
| Pharmacist | 183500000X | 28RI04461400 | NJ |
Addresses
Primary practice location
23832 Southfield Rd
Southfield, MI 48075-8000
Mailing address
23832 Southfield Rd
Southfield, MI 48075-8000
Phone (248) 557-9333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041654 | MI | MD | Pharmacist |
| 28RI04461400 | NJ | MD | Pharmacist |
| 0202223170 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1184099939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23832 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480758000",
"telephone_number": "248-557-9333",
"fax_number": "248-557-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23832 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480758000",
"telephone_number": "248-557-9333",
"fax_number": "248-557-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDURU",
"first_name": "VENKATA SRIVIDYA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202223170",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041654",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04461400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.