Sri Popuri

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0011714 Issued in CT

Practice address

140 Greenwood Ave
Bethel, CT 06801-2530

Phone

(203) 718-0000

NPI assigned

Oct 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Sri RX LLC

  • Community/Retail Pharmacy
  • Bethel, CT
  • NPI 1396172524
  NPD
• Auburn Apothecary LLC

  • Community/Retail Pharmacy
  • Auburn, MA
  • NPI 1144730854
  NPD
• Auburn Apothecary LLC

  • Long Term Care Pharmacy
  • Auburn, MA
  • NPI 1154027753
  NPD

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1497266183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREENWOOD AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012530",
            "telephone_number": "203-718-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREENWOOD AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012530",
            "telephone_number": "203-718-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPURI",
        "first_name": "SRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0011714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LIC",
            "identifier": "PCT.0011714",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Pettit, BCBA
• Tyler Philpott, O.D.
• Jaime Green Pinto, LMSW
• Christopher Martin Pioli
• Geraldine Poirier, CCC/SLP
• Lisa Anne Pottasch, APRN
• Sujata Pradhan-Peck
• Preferred Therapy Outpatient Services, LLC
• Protea Physical Therapy & Wellness LLC
• R & S Desai PLLC

• Pharmacist in Bethel, CT
• Providers in Bethel, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.