DR. SHIVA R PEDDIREDDY (NPI# 1457837015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457837015 |
| Entity Type | Individual |
| Full Name | DR. SHIVA R PEDDIREDDY |
| Credential | PHARM. D |
| Practice Address |
200 Wj Boaz Rd Ste 100 Saginaw TX 76179-1290 |
| Mailing Address |
400 Winding Ridge Trl Southlake TX 76092-1373 |
| Practice Telephone | 8174053333 |
| Mailing Telephone | 7064613516 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51090 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF PHARMACY | 51090 | 01 |
| Street Address |
200 WJ BOAZ RD STE 100 |
| City | SAGINAW |
| State | TX |
| Zip Code | 76179-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579127 | Icarerx Pharmacy LLC | Pharmacy | 200 Wj Boaz Rd Ste 100, Saginaw, TX 76179-1290 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851709547 | Sarah Lynn Klingler | Pharmacist | 5210 Prestwick Ct, M12, Saginaw, MI 48603-7911 | 2014-07-26 |
| 1922356591 | Murali C Ginjupalli | Pharmacist | 2897 Churchhill Ln, Saginaw, MI 48603-2693 | 2012-08-29 |
| 1114273539 | Leo M Dark | Pharmacist | 3177 Setting Sun Blvd, Saginaw, MI 48603-5211 | 2012-08-03 |
| 1881975548 | Lalit Mahajan | Pharmacist | 3424 E Genesee Ave, Saginaw, MI 48601-4211 | 2011-09-07 |
| 1114217924 | James Mark Schlicker | Pharmacist | 1470 Tittabawasse Rd, Saginaw, MI 48601 | 2011-04-13 |
| 1033408562 | Ann Hetzner | Pharmacist | 5050 Gratiot Rd, Saginaw, MI 48638-6030 | 2011-04-05 |
| 1023307717 | Jeffrey Joseph Franson | Pharmacist | 1470 Tittabawassee Rd, Saginaw, MI 48604-1056 | 2011-04-01 |
| 1164721841 | Daniel J Mendyk | Pharmacist | 1510 Delta Dr, Saginaw, MI 48638-4612 | 2011-03-21 |
| 1215269477 | Robert Walter Fillmore | Pharmacist | 5135 Gratiot Rd, Saginaw, MI 48638-6032 | 2010-02-12 |
| 1194956763 | Vaibhavi Sindha | Pharmacist | 3403 E Genesee Ave, Saginaw, MI 48601-4212 | 2009-07-30 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.