SWETHA DHARMAVARAM KOTTAM (NPI# 1801315015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801315015 |
| Entity Type | Individual |
| Full Name | SWETHA DHARMAVARAM KOTTAM |
| Credential | RPH |
| Practice Address |
12821 Cross Over Dr Dewitt MI 48820-7993 |
| Mailing Address |
1589 Belvedere Ave Okemos MI 48864-1277 |
| Practice Telephone | 5176694610 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302042352 | MI | Pharmacy Service Providers |
| Street Address |
12821 CROSS OVER DR |
| City | DEWITT |
| State | MI |
| Zip Code | 48820-7993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295158566 | Michael Murphy | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-01-22 |
| 1619369550 | Samantha Thomas | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2015-03-02 |
| 1548650146 | Meijer Great Lakes Ltd Pt | Pharmacy | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2015-02-03 |
| 1952717340 | Meijer | Pharmacy | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-07-07 |
| 1851702450 | Marcyanna Jorae | Pharmacist | 12821 Cross Over Dr, Dewitt, MI 48820-7993 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070660 | Safa Abugroun | Pharmacist | 13020 Old Us 27, Dewitt, MI 48820 | 2019-08-28 |
| 1881113645 | Joseph Wesley Zielinski | Physical Therapist | 13105 Shavey Rd. Suite 5, Dewitt, MI 48820 | 2017-09-13 |
| 1366979973 | Brianna Bishop | Behavior Technician | 12450 Airport Rd, Dewitt, MI 48820 | 2017-05-12 |
| 1376882290 | Elements Behavioral Health Pllc | Social Worker | 1651 Pratt Rd, Dewitt, MI 48820 | 2013-02-13 |
| 1265697478 | Abigail Balger | Emergency Medicine | 805 E Geneva Dr, Dewitt, MI 48820 | 2008-07-28 |
| 1992910483 | Heide Ann Novack | Pharmacist | 13157 1/2 Schavey, Dewitt, MI 48820 | 2007-05-10 |
| 1275667321 | Andrea K Simons | Podiatrist | 13105 Schavey Road, Suite 2, Dewitt, MI 48820 | 2007-03-14 |
| 1649222423 | Dewitt Optometry PC | Optometrist | 12900 S Us-27, #7, Dewitt, MI 48820 | 2006-05-17 |
| 1700884467 | Michael R. Bunce | Pharmacist | 128 S Bridge St, Dewitt, MI 48820 | 2005-07-07 |
| 1023439452 | Mary Sieben | Pharmacist | 12821 Crossover Dr, Meijer Pharmacy 209, Dewitt, MI 48820 | 2014-01-03 |
| Find all providers in zip 48820 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
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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.