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
- 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 | Clinical Social Worker |
| 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1952979288
-
- Community/Retail Pharmacy
- Martinsville, IN
- NPI 1013900083
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.