Active NPI
Bhushan Gadam
- Pharmacist
- Minnetonka, MN
National Provider Identifier
1437849874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120113
- Practice address
- 5800 Baker Rd
Minnetonka, MN 55345-5965 - Phone
- (763) 328-7582
- NPI assigned
- May 9, 2023
- 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 | 120113 | MN | Primary |
Addresses
Primary practice location
5800 Baker Rd
Minnetonka, MN 55345-5965
Mailing address
6477 Larkspur LN
Corcoran, MN 55340-4103
Phone (763) 328-7582
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 |
|---|---|---|---|
| 120113 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanashree Ayurveda | Current | Accepting new patients |
Locations
5800 Baker Rd
Minnetonka, MN 55345
Phone (763) 328-7582
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.
-
- Health Service Clinic/Center
- Minnetonka, MN
- NPI 1174213516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1437849874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6477 LARKSPUR LN",
"city": "CORCORAN",
"state": "MN",
"postal_code": "553404103",
"telephone_number": "763-328-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455965",
"telephone_number": "763-328-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADAM",
"first_name": "BHUSHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.