Individual provider Active NPI

Eswar Reddy Masireddy, BPHARM

  • Pharmacist
  • Yuma, AZ
National Provider Identifier
1720319684
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S017188 Issued in AZ
Practice address
2081 S 4TH Ave
28TH St
Yuma, AZ 85364
Phone
(928) 328-1945
NPI assigned
Jan 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S017188 AZ Primary

Addresses

Primary practice location

2081 S 4TH Ave
28TH St
Yuma, AZ 85364

Mailing address

2045 S 14TH Ave
Unit 80
Yuma, AZ 85364-6275
Phone (928) 328-1945

Other identifiers 1

IdentifierTypeStateIssuer
D05980915OtherAZDRIVERS 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

State licenses

LicenseStateTypeSpecialty
S017188AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1720319684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S 14TH AVE",
            "address_2": "UNIT 80",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646275",
            "telephone_number": "928-328-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 S 4TH AVE",
            "address_2": "28TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-328-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIREDDY",
        "first_name": "ESWAR REDDY",
        "name_prefix": "Mr.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "D05980915",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.