Active NPI
Anitha Muttavarapu, RPH
- Pharmacist
- Auburn Hills, MI
National Provider Identifier
1235442617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037911
- Practice address
- 2796 Patrick Henry St
Apt 618
Auburn Hills, MI 48326-2264 - Phone
- (586) 566-2695
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302037911 | MI | Primary |
Addresses
Primary practice location
2796 Patrick Henry St
Apt 618
Auburn Hills, MI 48326-2264
Mailing address
2796 Patrick Henry St
Apt#618
Auburn Hills, MI 48326-2264
Phone (586) 566-2695
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037911 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1235442617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 PATRICK HENRY ST",
"address_2": "APT#618",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262264",
"telephone_number": "586-566-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2796 PATRICK HENRY ST",
"address_2": "APT 618",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262264",
"telephone_number": "586-566-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTAVARAPU",
"first_name": "ANITHA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.