Active NPI
Sridevi Katragadda
- Pharmacist
- Marietta, GA
National Provider Identifier
1811235336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022884
- Practice address
- 805 Franklin CT SE
A
Marietta, GA 30067-8942 - Phone
- (770) 420-3393
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH022884 | GA | Primary |
Addresses
Primary practice location
805 Franklin CT SE
A
Marietta, GA 30067-8942
Mailing address
4442 Sterling Pointe Dr NW
Kennesaw, GA 30152-7347
Phone (770) 419-7455
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022884 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Infusion Services 209, Inc, | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Infusion Therapy Pharmacy
- Marietta, GA
- NPI 1952490641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1811235336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4442 STERLING POINTE DR NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527347",
"telephone_number": "770-419-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FRANKLIN CT SE",
"address_2": "A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678942",
"telephone_number": "770-420-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRAGADDA",
"first_name": "SRIDEVI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.