Individual provider Active NPI

Madhulatha Reddy Malireddy

  • Pharmacist
  • Springfield, VT
National Provider Identifier
1265845853
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
033.0003879 Issued in VT
Practice address
2 Chester Rd
Suite 25 Springfield Plaza
Springfield, VT 05156-2957
Phone
(802) 885-5311
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 033.0003879 VT Primary

Addresses

Primary practice location

2 Chester Rd
Suite 25 Springfield Plaza
Springfield, VT 05156-2957

Mailing address

12 Block Ave
Apt 32
Claremont, NH 03743-5149
Phone (404) 704-0854

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

State licenses

LicenseStateTypeSpecialty
033.0003879VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1265845853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BLOCK AVE",
            "address_2": "APT 32",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435149",
            "telephone_number": "404-704-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHESTER RD",
            "address_2": "SUITE 25 SPRINGFIELD PLAZA",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562957",
            "telephone_number": "802-885-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIREDDY",
        "first_name": "MADHULATHA",
        "middle_name": "REDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.