Active NPI
Shalendra Cherukuri, RPH
- Pharmacist
- Centreville, MD
National Provider Identifier
1578829941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17620
- Practice address
- 102 S Commerce St
Centreville, MD 21617-1116 - Phone
- (410) 758-1715
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 17620 | MD | Primary |
Addresses
Primary practice location
102 S Commerce St
Centreville, MD 21617-1116
Mailing address
8215 Daniels Purchase Way
Millersville, MD 21108-1599
Phone (410) 758-1715
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17620 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1578829941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 DANIELS PURCHASE WAY",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081599",
"telephone_number": "410-758-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S COMMERCE ST",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216171116",
"telephone_number": "410-758-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERUKURI",
"first_name": "SHALENDRA",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centreville, MD
- Centreville Drugs Inc
- Certified Counseling Services of Centreville, LLC
- Tina L Champagne-George
- Kathleen Chandler
- Andrea Cheezum, ALCOHOL/DRUG TRAINEE
- Chesapeake Cardiology Clinic
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
- Choptank Community Health System Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.