Active NPI
Seetharamaraju Gadiraju, PHARMACIST
- Pharmacist
- Livonia, MI
National Provider Identifier
1841426467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034992
- Practice address
- Rite Aid Pharmacy 4345
27401 West Six Mile Rd
Livonia, MI 48152-3834 - Phone
- (734) 762-0627
- Fax
- (734) 762-0631
- NPI assigned
- Jun 10, 2009
- Last updated
- Jun 10, 2009
- 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 | 5302034992 | MI | Primary |
Addresses
Primary practice location
Rite Aid Pharmacy 4345
27401 West Six Mile Rd
Livonia, MI 48152-3834
Mailing address
Rite Aid Pharmacy 4345, 27401 West 6 Mile Rd
Livonia, MI 48152-3834
Phone (734) 762-0627
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 |
|---|---|---|---|
| 5302034992 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 04345
- Community/Retail Pharmacy
- Livonia, MI
- NPI 1356450837
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1841426467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RITE AID PHARMACY 4345, 27401 WEST 6 MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523834",
"telephone_number": "734-762-0627",
"fax_number": "734-762-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RITE AID PHARMACY 4345",
"address_2": "27401 WEST SIX MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523834",
"telephone_number": "734-762-0627",
"fax_number": "734-762-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADIRAJU",
"first_name": "SEETHARAMARAJU",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.