Krishna Kumar Naga Venkata Jakka, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

056726-1 Issued in NY

Practice address

130 Governor Trumbull Way
Trumbull, CT 06611-5603

Phone

(904) 314-2276

Fax

(203) 590-3738

NPI assigned

Jan 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Grandhi LLC

  • Long Term Care Pharmacy
  • Trumbull, CT
  • NPI 1386362176
  NPD Authorized official
• Grandhi LLC

  • Community/Retail Pharmacy
  • Trumbull, CT
  • NPI 1245685536
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "28R03209900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS41668",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "056726-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PCT.0010976",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paddy K. Jarit
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• Hyungbok H Jeong

• Pharmacist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Pharmacist in Connecticut

• 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.

Verify at the official NPI Registry.