Individual provider Active NPI

Sowjanya Shakhamoori

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1487935862
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036213 Issued in MI
Practice address
5860 N Orange Blossom TRL
Orlando, FL 32810
Phone
(407) 822-1121
Fax
(407) 822-1921
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49557 FL
Pharmacist 183500000X 5302036213 MI Primary

Addresses

Primary practice location

5860 N Orange Blossom TRL
Orlando, FL 32810

Mailing address

409 W Genesee Ave
Saginaw, MI 48602-5513
Phone (989) 755-2251

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

LicenseStateTypeSpecialty
PS49557FLMDPharmacist
5302036213MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX-Mart Pharmacy LLC Current Accepting new patients
Walgreen Co Past Accepting new patients
Pharma Buddies Corp Past Accepting new patients
Pharma Buddies Corp Past Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 5

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1487935862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025513",
            "telephone_number": "989-755-2251",
            "fax_number": "989-755-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32810",
            "telephone_number": "407-822-1121",
            "fax_number": "407-822-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKHAMOORI",
        "first_name": "SOWJANYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49557",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.