Active NPI
Senthil Ganesh Marimuthu
- Pharmacist
- Blacksburg, VA
National Provider Identifier
1881993566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206723
- Practice address
- 850 University City Blvd
Blacksburg, VA 24060-2708 - Phone
- (540) 552-7716
- Fax
- (540) 961-5709
- NPI assigned
- Mar 21, 2011
- 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 | 183500000X | 0202206723 | VA | Primary |
Addresses
Primary practice location
850 University City Blvd
Blacksburg, VA 24060-2708
Mailing address
1412 Honeysuckle Dr
Blacksburg, VA 24060-0391
Phone (540) 320-3345
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 |
|---|---|---|---|
| 0202206723 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416614400000",
"number": "1881993566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 HONEYSUCKLE DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240600391",
"telephone_number": "540-320-3345",
"fax_number": "540-961-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 UNIVERSITY CITY BLVD",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240602708",
"telephone_number": "540-552-7716",
"fax_number": "540-961-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIMUTHU",
"first_name": "SENTHIL",
"middle_name": "GANESH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-21",
"last_updated": "2014-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.