Active NPI
Krishna Kumar Naga Venkata Jakka, RPH
- Pharmacist
- Trumbull, CT
National Provider Identifier
1023355641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056726-1
- Practice address
- 130 Governor Trumbull Way
Trumbull, CT 06611-5603 - Phone
- (904) 314-2276
- Fax
- (203) 590-3738
- NPI assigned
- Jan 16, 2013
- Last updated
- Feb 19, 2025
- 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 | 056726-1 | NY | Primary |
Addresses
Primary practice location
130 Governor Trumbull Way
Trumbull, CT 06611-5603
Mailing address
1201 Woodlandhills Dr
Trumbull, CT 06611
Phone (904) 314-2276
Other practice location 1
615 Howard Ave
New Haven, CT 06519-2112
Phone (904) 314-2276
Other practice location 2
15 Corporate Dr Ste 1-1
Trumbull, CT 06611-1351
Phone (203) 590-3737
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056726-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandhi LLC | Current | Accepting new patients | |
| Grandhi LLC | Current | Accepting new patients |
Locations
15 Corporate Dr
Ste 1-1
Trumbull, CT 06611
Phone (203) 590-3737
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": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1023355641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WOODLANDHILLS DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "904-314-2276",
"fax_number": "203-549-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GOVERNOR TRUMBULL WAY",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115603",
"telephone_number": "904-314-2276",
"fax_number": "203-590-3738"
}
],
"practiceLocations": [
{
"address_1": "615 Howard Ave",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065192112",
"country_code": "US",
"telephone_number": "904-314-2276",
"fax_number": "203-549-0650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Corporate Dr Ste 1-1",
"address_purpose": "LOCATION",
"city": "Trumbull",
"state": "CT",
"postal_code": "066111351",
"country_code": "US",
"telephone_number": "203-590-3737",
"fax_number": "203-590-3738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAKKA",
"first_name": "KRISHNA KUMAR",
"middle_name": "NAGA VENKATA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-16",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056726-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
- Insight Solutions Counseling, LLC
- Integramed Medical Connecticut, LLC (Sher Institute for Reproductive Medicine Conneticut)
- Integrative Counseling & Wellness, PLLC
- Integrity Mental Health, LLC (Integrity Mental Health)
- Sophie Jaffe, LCSW
- Shareef Jandali, MD
- Corey Jaquez, M.D.
- Paddy K. Jarit
- Sarma Jayanthi, MD
- Hyungbok H Jeong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.