Active NPI
Rama Sunitha Vejju, PHARM.D.
- Pharmacist
- Oconomowoc, WI
National Provider Identifier
1215506597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20140-40
- Practice address
- 1021 Summit Ave
Oconomowoc, WI 53066-4499 - Phone
- (262) 567-9173
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 28, 2021
- 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 | 20140-40 | WI | Primary |
Addresses
Primary practice location
1021 Summit Ave
Oconomowoc, WI 53066-4499
Mailing address
W241N5635 Maple Grove LN
Sussex, WI 53089-3915
Phone (414) 704-6989
Other practice location 1
514 Riverview Ave # 238
Waukesha, WI 53188-3631
Phone (262) 955-8811
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20140-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1021 Summit Ave
Oconomowoc, WI 53066
Phone (262) 567-9173
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1215506597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W241N5635 MAPLE GROVE LN",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893915",
"telephone_number": "414-704-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SUMMIT AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664499",
"telephone_number": "262-567-9173"
}
],
"practiceLocations": [
{
"address_1": "514 Riverview Ave # 238",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531883631",
"country_code": "US",
"telephone_number": "262-955-8811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEJJU",
"first_name": "RAMA",
"middle_name": "SUNITHA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20140-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.