Srinivasa V Prasad Ivaturi, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03424500 Issued in NJ

Practice address

228 E Broadway
Salem, NJ 08079-1108

Phone

(856) 935-4800

Fax

(856) 935-4900

NPI assigned

Jul 25, 2011

Last updated

Jul 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prasad SV Ivaturi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shree Sai Ganesh Inc

  dba Salem Pharmacy

  • Community/Retail Pharmacy
  • Salem, NJ
  • NPI 1013296060

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1740568773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CYPRUS LN",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204547",
            "telephone_number": "215-688-2733",
            "fax_number": "856-935-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E BROADWAY",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080791108",
            "telephone_number": "856-935-4800",
            "fax_number": "856-935-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVATURI",
        "first_name": "SRINIVASA V PRASAD",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03424500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRASAD",
            "last_name": "IVATURI",
            "middle_name": "SV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew L Hunter
• Rimon Maher Ibrahim, RPH
• Inspira Medical Centers, Inc. (Inspira Medical Center Mannington)
• Inspira Medical Centers, Inc. (Inspira Inpatient Adult Behavioral Health - Mannington)
• Patricia Louise Irwin
• Jay Calesnick, MD
• Ina Ray Jetter, LPC
• Jin P Kim MD
• Kristy Marie Johnson, PHARMD
• Ronald Johnson, LPN

• Pharmacist in Salem, NJ
• Providers in Salem, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.