MR. SURESH ATHULURI (NPI# 1659789568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659789568 |
| Entity Type | Individual |
| Full Name | MR. SURESH ATHULURI |
| Practice Address |
6155 Dixie Hwy Bridgeport MI 48722-9618 |
| Practice Telephone | 9897432533 |
| Mailing Telephone | 9897432533 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302039065 | MI | Pharmacy Service Providers |
| Street Address |
6155 DIXIE HWY |
| City | BRIDGEPORT |
| State | MI |
| Zip Code | 48722-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841580909 | Lee Faust | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2011-04-11 |
| 1124634654 | Kayla Dean | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2020-09-21 |
| 1144869512 | Ahmed M Al-jorani | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2020-01-02 |
| 1497028542 | Adwoa Frimpomaa Atakora | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2012-02-21 |
| 1871886309 | David Michael Purkis | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
| 1376016261 | Guidepost Counseling Services, Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722 | 2019-01-03 |
| 1497098594 | Nicole Marie Judson | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722 | 2013-03-27 |
| 1659600377 | Kevin J Luptowski | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722 | 2009-12-08 |
| 1255472114 | Boettcher Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 Dixie Hwy, Bridgeport, MI 48722-9513 | 2007-02-12 |
| 1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
| 1114917242 | Bridgeport Pharmacy Inc | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2005-10-28 |
| 1922581131 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-09-13 |
| 1184120990 | Hemang Vinodchandra Patel | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-04-02 |
| Find all providers in zip 48722 | ||||
| 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 |
|---|---|---|---|---|
| 1073162780 | Lauren Mccarthy | Pharmacist | 63 Overlook Dr, Bridgeport, WV 26330-1021 | 2019-09-05 |
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1407391485 | Sangeetha Ravindran | Pharmacist | 978 East Main Street, Bridgeport, CT 06608-4640 | 2016-12-29 |
| 1659734150 | Jignesh Patel | Pharmacist | 2610 E Main St, Briarwoods Shopping Center, Bridgeport, CT 06610-1422 | 2016-04-01 |
| 1811363971 | Victoria Martinez | Pharmacist | 25 Duane Pl, Bridgeport, CT 06610-1125 | 2015-08-12 |
| 1760875660 | Laura Lowther | Pharmacist | 300 West Main St., Bridgeport, WV 26330-1178 | 2015-03-17 |
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1528486677 | Tonya Jimmie | Pharmacist | 284 Forest Dr, Bridgeport, WV 26330-9535 | 2014-04-04 |
| 1861741654 | Ryan A Bane | Pharmacist | 56130 National Rd, Bridgeport, OH 43912-1529 | 2012-09-07 |
| 1841580909 | Lee Faust | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2011-04-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 48722 |
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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.