Individual provider Active NPI

Sujana Madhireddy, RPH

  • Pharmacist
  • Flemington, NJ
National Provider Identifier
1336454735
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03104300 Issued in NJ
Practice address
78 Church St
Flemington, NJ 08822-1640
Phone
(908) 782-2017
Fax
(908) 782-1229
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3379 NH
Pharmacist 183500000X 033.0003795 VT
Pharmacist 183500000X 16995 MD
Pharmacist 183500000X 28RI03104300 NJ Primary

Addresses

Primary practice location

78 Church St
Flemington, NJ 08822-1640

Mailing address

78 Church St
Flemington, NJ 08822-1640
Phone (908) 782-2017

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

LicenseStateTypeSpecialty
16995MDMDSocial Worker
3379NHMDPharmacist
28RI03104300NJMDPharmacist
033.0003795VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1336454735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CHURCH ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221640",
            "telephone_number": "908-782-2017",
            "fax_number": "908-782-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CHURCH ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221640",
            "telephone_number": "908-782-2017",
            "fax_number": "908-782-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHIREDDY",
        "first_name": "SUJANA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3379",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0003795",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16995",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03104300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.