Sainath Reddy Bokka

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0015533 Issued in CT

Practice address

540 Bloomfield Village Blvd
Auburn Hills, MI 48326-3592

Phone

(601) 467-3379

NPI assigned

Jan 30, 2022

Last updated

Jan 30, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1568115624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BLOOMFIELD VILLAGE BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263592",
            "telephone_number": "314-919-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BLOOMFIELD VILLAGE BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263592",
            "telephone_number": "601-467-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066045514",
            "country_code": "US",
            "telephone_number": "601-467-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOKKA",
        "first_name": "SAINATH",
        "middle_name": "REDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0015533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.