Individual provider Active NPI

Rama Sunitha Vejju, PHARM.D.

  • Pharmacist
  • Oconomowoc, WI
National Provider Identifier
1215506597
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20140-40 Issued in WI
Practice address
1021 Summit Ave
Oconomowoc, WI 53066-4499
Phone
(262) 567-9173
NPI assigned
Jun 22, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
20140-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 8, 2025 Accepting new patients
Walgreen Co PastSince Jun 27, 2021 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.

Verify at the official NPI Registry.