Madhavi Sambaraju

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39489 Issued in FL

Practice address

2602 Jim Redman Pkwy
Plant City, FL 33566-9460

Phone

(813) 752-5765

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1205436219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 HEARTLAND CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 JIM REDMAN PKWY",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669460",
            "telephone_number": "813-752-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBARAJU",
        "first_name": "MADHAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fauchard Saint-Hilaire, COTA/L-CLT
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• Pharmacist in Plant City, FL
• Providers in Plant City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.