Individual provider Active NPI

Seetharamaraju Gadiraju, PHARMACIST

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1841426467
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034992 Issued in MI
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302034992MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.