Active NPI
Sweta Uday Goradia
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1205104569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14325-40
- Practice address
- 4808 N Hopkins St
Milwaukee, WI 53209-5328 - Phone
- (414) 462-4310
- Fax
- (414) 462-3967
- NPI assigned
- Dec 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14325-40 | WI | Primary |
Addresses
Primary practice location
4808 N Hopkins St
Milwaukee, WI 53209-5328
Mailing address
W173N10213 Woodbridge LN
Germantown, WI 53022-4685
Phone (262) 251-9934
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 |
|---|---|---|---|
| 14325-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1205104569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W173N10213 WOODBRIDGE LN",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224685",
"telephone_number": "262-251-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4808 N HOPKINS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532095328",
"telephone_number": "414-462-4310",
"fax_number": "414-462-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORADIA",
"first_name": "SWETA",
"middle_name": "UDAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14325-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.