Active NPI
Nichinabatlu K. Jagajeevan, RPH
- Pharmacist
- Martinez, CA
National Provider Identifier
1669548269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33297
- Practice address
- 200 Muir Rd
Martinez, CA 94553-4614 - Phone
- (925) 372-1628
- Fax
- (925) 372-1229
- NPI assigned
- Nov 27, 2006
- 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 | 33297 | CA | Primary |
Addresses
Primary practice location
200 Muir Rd
Martinez, CA 94553-4614
Mailing address
4406 Arrowwood CT
Concord, CA 94521-4427
Phone (925) 372-1407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33297 | Other | CA | PHARMACY LICENSE |
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 |
|---|---|---|---|
| 33297 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669548269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 ARROWWOOD CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214427",
"telephone_number": "925-372-1407",
"fax_number": "925-372-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534614",
"telephone_number": "925-372-1628",
"fax_number": "925-372-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGAJEEVAN",
"first_name": "NICHINABATLU",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "33297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "33297",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.