Bragadeesh Ramamurti Iyer, PHARM D, CGP

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.286131 Issued in IL

Practice address

1951 W Jefferson Ave
Naperville, IL 60540-3914

Phone

(630) 357-0280

NPI assigned

May 22, 2007

Last updated

Jul 17, 2014By 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 3

Addresses

Other names 1

• Bijju Iyer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1659580793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W JEFFERSON AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403914",
            "telephone_number": "630-357-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W JEFFERSON AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403914",
            "telephone_number": "630-357-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "BRAGADEESH",
        "middle_name": "RAMAMURTI",
        "name_prefix": "Dr.",
        "credential": "PHARM D, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 50852",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.286131",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "13723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIJJU",
            "last_name": "IYER",
            "credential": "PHARM D, CGP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Naperville, IL
• Providers in Naperville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.