Individual provider Active NPI

Anil Babu Guntupalli, MPHARM

  • Pharmacist
  • Troy, MI
National Provider Identifier
1487937322
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033243 Issued in MI
Practice address
1639 E Big Beaver Rd Ste 101
Troy, MI 48083-2053
Phone
(248) 526-0358
Fax
(313) 567-4295
NPI assigned
Sep 27, 2011
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033243 MI Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 101
Troy, MI 48083-2053

Mailing address

1639 E Big Beaver Rd Ste 101
Troy, MI 48083-2053
Phone (248) 526-0358

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
5302033243MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Index Pharmacy LLC CurrentSince Aug 30, 2020 Accepting new patients

Locations

1639 E Big Beaver Rd
Ste 101
Troy, MI 48083
Phone (248) 526-0358

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1487937322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-526-0358",
            "fax_number": "248-526-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-526-0358",
            "fax_number": "313-567-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTUPALLI",
        "first_name": "ANIL",
        "middle_name": "BABU",
        "name_prefix": "Mr.",
        "credential": "MPHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.