Active NPI
Boopathy Sivaraman, PHARMD
- Pharmacist
- Birmingham, AL
National Provider Identifier
1922415827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17758
- Practice address
- 3020 Clairmont Ave S
Birmingham, AL 35205-1113 - Phone
- (205) 323-6823
- NPI assigned
- Jul 13, 2014
- Last updated
- Feb 10, 2015
- 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 | 17758 | AL | Primary |
Addresses
Primary practice location
3020 Clairmont Ave S
Birmingham, AL 35205-1113
Mailing address
1600 7TH Ave S
Department of Pharmacy
Birmingham, AL 35233-1711
Phone (205) 638-9718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17758 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1922415827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-638-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CLAIRMONT AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051113",
"telephone_number": "205-323-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVARAMAN",
"first_name": "BOOPATHY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-13",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.