Individual provider Active NPI

Sree Prathipati, PHARMD

  • Pharmacist
  • Chandler, AZ
National Provider Identifier
1962009969
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024675 Issued in AZ
Practice address
3777 S Arizona Ave
Chandler, AZ 85248-2700
Phone
(480) 612-6102
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024675 AZ Primary

Addresses

Primary practice location

3777 S Arizona Ave
Chandler, AZ 85248-2700

Mailing address

3777 S Arizona Ave
Chandler, AZ 85248-2700
Phone (480) 612-6102

Other practice location 1

4121 E Cotton Center Blvd
Phoenix, AZ 85040-8849
Phone (602) 431-5000

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
S024675AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caremark, L.L.C. Past 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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1962009969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482700",
            "telephone_number": "480-612-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482700",
            "telephone_number": "480-612-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 E Cotton Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850408849",
            "country_code": "US",
            "telephone_number": "602-431-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHIPATI",
        "first_name": "SREE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.