Active NPI
Gurudas Hampapuram
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dayton, OH
National Provider Identifier
1871124685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 014293
- Practice address
- 2921 W Alex Bell Rd
Dayton, OH 45459-1127 - Phone
- (937) 294-7210
- Fax
- (937) 294-7809
- NPI assigned
- Jan 30, 2020
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 014293 | KY | Primary |
Addresses
Primary practice location
2921 W Alex Bell Rd
Dayton, OH 45459-1127
Mailing address
423 Pleasant Ridge Dr
Lebanon, OH 45036-3551
Phone (859) 552-0749
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 |
|---|---|---|---|
| 014293 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1871124685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 PLEASANT RIDGE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363551",
"telephone_number": "859-552-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 W ALEX BELL RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454591127",
"telephone_number": "937-294-7210",
"fax_number": "937-294-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPAPURAM",
"first_name": "GURUDAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "014293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.