Individual provider Active NPI

Shashank Sridhara, PHARM.D

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1902203474
Registry record updated Nov 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52825 Issued in FL
Practice address
8805 Citrus Village Dr Apt 207
Tampa, FL 33626-3688
Phone
(941) 914-5045
NPI assigned
Nov 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52825 FL Primary

Addresses

Primary practice location

8805 Citrus Village Dr Apt 207
Tampa, FL 33626-3688

Mailing address

8805 Citrus Village Dr Apt 207
Tampa, FL 33626-3688
Phone (941) 914-5045

Other identifiers 1

IdentifierTypeStateIssuer
PS52825OtherFLDEPARTMENT OF HEALTH

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS52825FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Om RX Partners LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417219200000",
    "number": "1902203474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 CITRUS VILLAGE DR APT 207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263688",
            "telephone_number": "941-914-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 CITRUS VILLAGE DR APT 207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263688",
            "telephone_number": "941-914-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIDHARA",
        "first_name": "SHASHANK",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PS52825",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.