Active NPI
Ajit Damodaran, PH.D.
- Pharmacist
- Richmond, VA
National Provider Identifier
1336461185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206846
- Practice address
- 4715 Nine Mile Rd
Richmond, VA 23223-4908 - Phone
- (804) 226-9388
- Fax
- (804) 222-2773
- NPI assigned
- Feb 22, 2010
- Sex
- Male
- 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 | 0202206846 | VA | Primary |
Addresses
Primary practice location
4715 Nine Mile Rd
Richmond, VA 23223-4908
Mailing address
13478 Blunts Bridge Rd
Ashland, VA 23005-7250
Phone (804) 798-5801
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206846 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1336461185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13478 BLUNTS BRIDGE RD",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057250",
"telephone_number": "804-798-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 NINE MILE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232234908",
"telephone_number": "804-226-9388",
"fax_number": "804-222-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMODARAN",
"first_name": "AJIT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.