Active NPI
Gero Gaba Sededji, PHARM.D
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1790223998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028021A
- Practice address
- 2920 E 38TH St
Indianapolis, IN 46218-1518 - Phone
- (317) 545-6167
- NPI assigned
- Feb 8, 2017
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202215474 | VA | |
| Pharmacist | 183500000X | 26028021A | IN | Primary |
| Pharmacist | 183500000X | 57437 | TX | |
| Pharmacist | 183500000X | PH100002488 | DC |
Addresses
Primary practice location
2920 E 38TH St
Indianapolis, IN 46218-1518
Mailing address
2920 E 38TH St
Indianapolis, IN 46218
Phone (317) 545-6167
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100002488 | DC | MD | Pharmacist |
| 26028021A | IN | MD | Pharmacist |
| 57437 | TX | MD | Pharmacist |
| 0202215474 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2920 E 38th St
Indianapolis, IN 46218
Phone (317) 545-6167
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1790223998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 E 38TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46218",
"telephone_number": "317-545-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 E 38TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462181518",
"telephone_number": "317-545-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDEDJI",
"first_name": "GERO",
"middle_name": "GABA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2023-06-30",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215474",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028021A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57437",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.