NPIMap

Individual provider Active NPI

Senthilvelan Radhakrishnan

  • Pharmacist
  • Durham, NC
National Provider Identifier
1881824753
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17430 Issued in NC
Practice address
1505 Broad St
Durham, NC 27705-3314
Phone
(919) 286-4431
Fax
(919) 286-2251
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 17430 NC Primary

Addresses

Primary practice location

1505 Broad St
Durham, NC 27705-3314

Mailing address

1505 Broad St
Durham, NC 27705-3314
Phone (919) 286-4431

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
17430NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Drugs LLC Current Accepting new patients
Morgan Street Pharmacy LLC Current Accepting new patients
Morgan Street Pharmacy LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1881824753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053314",
            "telephone_number": "919-286-4431",
            "fax_number": "919-286-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053314",
            "telephone_number": "919-286-4431",
            "fax_number": "919-286-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "SENTHILVELAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.