Jayaram Daggumati, DOCTOR OF PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03995200 Issued in NJ

Practice address

245 State RT 23
Franklin, NJ 07416

Phone

(973) 864-3202

Fax

(973) 862-3203

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Franklin, NJ
  • NPI 1982080891
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1396357463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE RT 23",
            "city": "FRANKLIN",
            "state": "NJ",
            "postal_code": "07416",
            "telephone_number": "973-864-3202",
            "fax_number": "973-862-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STATE RT 23",
            "city": "FRANKLIN",
            "state": "NJ",
            "postal_code": "07416",
            "telephone_number": "973-864-3202",
            "fax_number": "973-862-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGUMATI",
        "first_name": "JAYARAM",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03995200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Bartholomew, O.D.
• Thomas Edward Beyer
• Andre Bonnet, D.O.
• Catholic Family and Community Services
• Carly Chiarella
• Daniel Kohansby, O.D. PC
• Donald a Sugar M.D., D-S, P.a.
• Samantha Elizabeth Drew, DPT
• David Alexander Ellner, PHARMD, RPH
• Empowerment Through Self Psychological Counseling, LLC

• Pharmacist in Franklin, NJ
• Providers in Franklin, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.