Individual provider Active NPI

Rajkumar Sevak, PHD, RPH

  • Pharmacist
  • Auburn, AL
National Provider Identifier
1205289022
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302041826 Issued in MI
Practice address
4315 Golf Club Dr
Apt 2106
Auburn, AL 36830-5836
Phone
(210) 386-6112
NPI assigned
Jul 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S022883 AZ
Pharmacist 183500000X 38529 TN
Pharmacist 183500000X 5302041826 MI Primary

Addresses

Primary practice location

4315 Golf Club Dr
Apt 2106
Auburn, AL 36830-5836

Mailing address

4616 S Deer TRL
Prescott, AZ 86303-6184
Phone (210) 386-6112

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
Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S022883AZMDPharmacist
5302041826MIMDPharmacist
38529TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1205289022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 S DEER TRL",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036184",
            "telephone_number": "210-386-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 GOLF CLUB DR",
            "address_2": "APT 2106",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305836",
            "telephone_number": "210-386-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVAK",
        "first_name": "RAJKUMAR",
        "name_prefix": "Dr.",
        "credential": "PHD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022883",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38529",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.