Active NPI
Sheshu Mettu, RPH
- Pharmacist
- Severna Park, MD
National Provider Identifier
1770890923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18255
- Practice address
- 25 Jones Station Rd West
Severna Park, MD 21146 - Phone
- (410) 354-1436
- NPI assigned
- Sep 9, 2010
- 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 | 18255 | MD | Primary |
Addresses
Primary practice location
25 Jones Station Rd West
Severna Park, MD 21146
Mailing address
8102 Foxberry LN
Apt 1410
Pasadena, MD 21122-7144
Phone (410) 929-9356
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 |
|---|---|---|---|
| 18255 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radhe Radhe Pharmacy LLC | Current | Accepting new patients | |
| Sri Ganesh Pharmacy of Cumberland Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba potomac valley pharmacy of cumberland
- Pharmacy
- Cumberland, MD
- NPI 1285994814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1770890923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 FOXBERRY LN",
"address_2": "APT 1410",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227144",
"telephone_number": "410-929-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 JONES STATION RD WEST",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "410-354-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METTU",
"first_name": "SHESHU",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.