Active NPI
Sailesh Kumar Duvvuru
- Pharmacist
- Gardiner, ME
National Provider Identifier
1285948166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5357
- Practice address
- 9 Spring St
Gardiner, ME 04345 - Phone
- (207) 582-3051
- Fax
- (207) 582-0418
- NPI assigned
- Aug 3, 2010
- Sex
- Male
- 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 | PR5357 | ME | Primary |
Addresses
Primary practice location
9 Spring St
Gardiner, ME 04345
Mailing address
28 Louden St,
Apt H
Farmingdale, ME 04344
Phone (917) 779-9159
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR5357 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1285948166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LOUDEN ST,",
"address_2": "APT H",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "04344",
"telephone_number": "917-779-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SPRING ST",
"city": "GARDINER",
"state": "ME",
"postal_code": "04345",
"telephone_number": "207-582-3051",
"fax_number": "207-582-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVVURU",
"first_name": "SAILESH",
"middle_name": "KUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardiner, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.