Active NPI
Raghavendra Melgiri
- Pharmacist
- Midland, MI
National Provider Identifier
1861821175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037520
- Practice address
- 1615 N Saginaw Rd
Midland, MI 48640-7237 - Phone
- (989) 832-2491
- NPI assigned
- Nov 6, 2013
- 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 | 5302037520 | MI | Primary |
Addresses
Primary practice location
1615 N Saginaw Rd
Midland, MI 48640-7237
Mailing address
6201 Shirewood Cir
Midland, MI 48642-7064
Phone (989) 948-4197
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 |
|---|---|---|---|
| 5302037520 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1861821175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 SHIREWOOD CIR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427064",
"telephone_number": "989-948-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 N SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407237",
"telephone_number": "989-832-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELGIRI",
"first_name": "RAGHAVENDRA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-06",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.