Active NPI
Annadurai Kuppusamy, M S (PHARM) RPH
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1497024244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26024369A
- Practice address
- 7345 Woodland Dr
Indianapolis, IN 46278-1737 - Phone
- (317) 293-1700
- Fax
- (317) 981-6716
- NPI assigned
- Dec 23, 2011
- Last updated
- Jun 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64348 | TX | |
| Pharmacist | 183500000X | PIC021426 | LA | |
| Pharmacist | 183500000X | 2217477 | VA | |
| Pharmacist | 183500000X | PS51347 | FL | |
| Pharmacist | 183500000X | 26024369A | IN | Primary |
| Pharmacist | 183500000X | 51299282 | IL | |
| Pharmacist | 183500000X | 0017315 | OR | |
| Pharmacist | 183500000X | 5302046486 | MI | |
| Pharmacist | 183500000X | 0011575 | WV | |
| Pharmacist | 183500000X | 22328 | AL |
Addresses
Primary practice location
7345 Woodland Dr
Indianapolis, IN 46278-1737
Mailing address
7345 Woodland Dr
Indianapolis, IN 46278-1737
Phone (317) 293-1700
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)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64348 | TX | MD | Professional Counselor |
| 22328 | AL | MD | Pharmacist |
| PS51347 | FL | MD | Pharmacist |
| 51299282 | IL | MD | Pharmacist |
| PIC021426 | LA | MD | Pharmacist |
| 5302046486 | MI | MD | Pharmacist |
| 0017315 | OR | MD | Pharmacist |
| 2217477 | VA | MD | Pharmacist |
| 0011575 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milee Inc. | Past | Accepting new patients | |
| Ivisit Doc Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1497024244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-293-1700",
"fax_number": "317-981-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-293-1700",
"fax_number": "317-981-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPPUSAMY",
"first_name": "ANNADURAI",
"credential": "M S (PHARM) RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64348",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PIC021426",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "2217477",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51347",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024369A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "51299282",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0017315",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302046486",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "0011575",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "22328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.