Active NPI
Panchachram Senthilkumar, PHARMACIST
- Pharmacist
- Flint, MI
National Provider Identifier
1508141037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038758
- Practice address
- 502 S Ballenger Hwy
Flint, MI 48532-3640 - Phone
- (810) 424-9270
- NPI assigned
- Oct 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302038758 | MI | Primary |
Addresses
Primary practice location
502 S Ballenger Hwy
Flint, MI 48532-3640
Mailing address
502 S Ballenger Hwy
Flint, MI 48532-3640
Phone (810) 424-9270
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302038758 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318723200000",
"number": "1508141037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323640",
"telephone_number": "810-424-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323640",
"telephone_number": "810-424-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENTHILKUMAR",
"first_name": "PANCHACHRAM",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-16",
"last_updated": "2011-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.