Visweswara Sastry Kadiyam

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

28RI02251100 Issued in NJ

Practice address

688 Main St
Paterson, NJ 07503-2622

Phone

(973) 278-2207

NPI assigned

Aug 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Shirdi Baba Pharmacy Corp

  • Pharmacist
  • Paterson, NJ
  • NPI 1194826198
  NPD Authorized official
• Shri Gurudutta Drugs Inc

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1366927451
  NPD Authorized official
• Sairam Pharmacy Inc

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1376080820
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1477079614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 216TH ST",
            "city": "BAYSIDE HILLS",
            "state": "NY",
            "postal_code": "113641335",
            "telephone_number": "973-930-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032622",
            "telephone_number": "973-278-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIYAM",
        "first_name": "VISWESWARA",
        "middle_name": "SASTRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "039187-1",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NJ",
            "license": "28RI02251100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sobha Joseph
• Megan Ashley Remigoso Jubane, MD
• Mohamed Jukaku, MD
• Just Kidz Pediatrics
• Liana Kabbani, DPT
• Alissa Rachel Kahn, M.D.
• Haris Kalatoudis, M.D.
• Jyothi Kalimireddi, DDS
• Nickolaos Zackary Kallis, DMD
• Megan Elizabeth Kaminskyj, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.