Individual provider Active NPI

Ravi Morisetty

  • Pharmacist
  • Commerce, TX
National Provider Identifier
1730459983
Registry record updated Jan 5, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Nov 19, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44933 Issued in TX
Practice address
2210 Live Oak St Ste C
Commerce, TX 75428-4441
Phone
(903) 886-8888
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44933 TX Primary

Addresses

Primary practice location

2210 Live Oak St Ste C
Commerce, TX 75428-4441

Mailing address

2210 Live Oak St Ste C
Commerce, TX 75428-4441
Phone (903) 886-8888

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
44933TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1730459983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LIVE OAK ST STE C",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754284441",
            "telephone_number": "903-886-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LIVE OAK ST STE C",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754284441",
            "telephone_number": "903-886-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISETTY",
        "first_name": "RAVI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, TX

Sources for this page

Verify at the official NPI Registry.