Individual provider Active NPI

Sreedhar Maladi, RPH

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1356747919
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS39631 Issued in FL
Practice address
5966 Moncrief Rd Ste 1
Jacksonville, FL 32209-2538
Phone
(904) 379-3195
Fax
(904) 551-0972
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS39631 FL Primary

Addresses

Primary practice location

5966 Moncrief Rd Ste 1
Jacksonville, FL 32209-2538

Mailing address

5966 Moncrief Rd Ste 1
Jacksonville, FL 32209-2538
Phone (904) 379-3195

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
PS39631FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maladi Inc CurrentSince Feb 24, 2022 Accepting new patients

Locations

5966 Moncrief Rd
Ste 1
Jacksonville, FL 32209
Phone (904) 379-3195

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1356747919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 MONCRIEF RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092538",
            "telephone_number": "904-379-3195",
            "fax_number": "904-551-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 MONCRIEF RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092538",
            "telephone_number": "904-379-3195",
            "fax_number": "904-551-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALADI",
        "first_name": "SREEDHAR",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.