Individual provider Active NPI

Pavithran Gujja, R.PH

  • Pharmacist
  • Wilmington, DE
National Provider Identifier
1184758849
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-3688 Issued in DE
Practice address
4528 Kirkwood Hwy
Suite a
Wilmington, DE 19808-1928
Phone
(302) 575-9891
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-3688 DE Primary

Addresses

Primary practice location

4528 Kirkwood Hwy
Suite a
Wilmington, DE 19808-1928

Mailing address

4528 Kirkwood Hwy Ste a
Wilmington, DE 19808-5126
Phone (302) 575-9891

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
A1-3688DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Discount Pharmacy LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

4528 Kirkwood Hwy
Ste A
Wilmington, DE 19808
Phone (302) 575-9891

Organizations & group practices 1

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1184758849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 KIRKWOOD HWY STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085126",
            "telephone_number": "302-575-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 KIRKWOOD HWY",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081928",
            "telephone_number": "302-575-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJJA",
        "first_name": "PAVITHRAN",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.