Active NPI
Chandrasekharam Chittiprolu
- Pharmacist
- Center Line, MI
National Provider Identifier
1851672802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035551
- Practice address
- 8033 E 10 Mile Rd
Center Line, MI 48015-1427 - Phone
- (586) 427-5344
- Fax
- (586) 427-5589
- NPI assigned
- Sep 5, 2011
- Sex
- Male
- 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 | 5302035551 | MI | Primary |
Addresses
Primary practice location
8033 E 10 Mile Rd
Center Line, MI 48015-1427
Mailing address
2-73
Rentachintala, ANDHRA PRADESH 522421
IN
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 |
|---|---|---|---|
| 5302035551 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Medical Pharmacy LLC | Current | Accepting new patients | |
| Centerline City Pharmacy LLC | 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.
-
- Community/Retail Pharmacy
- Center Line, MI
- NPI 1538424858
-
- Community/Retail Pharmacy
- Taylor, MI
- NPI 1043584725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315180800000",
"number": "1851672802",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2-73",
"city": "RENTACHINTALA",
"state": "ANDHRA PRADESH",
"postal_code": "522421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8033 E 10 MILE RD",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151427",
"telephone_number": "586-427-5344",
"fax_number": "586-427-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITTIPROLU",
"first_name": "CHANDRASEKHARAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-05",
"last_updated": "2011-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Line, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.