Satheesh S Gottipati, R.PH

Individual provider Active NPI Pharmacist · Chesterbrook, PA

NPI 1043466527 · NPPES record last updated Nov 20, 2008

Key facts

NPI
1043466527
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP442018 (PA)
Practice address
500 Chesterbrook Blvd Ste B11
Riteaid Pharmacy
Chesterbrook, PA 19087-5645
Phone
(610) 647-4490
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP442018PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442018 PA Yes

Addresses

Primary practice location

500 Chesterbrook Blvd Ste B11
Riteaid Pharmacy
Chesterbrook, PA 19087-5645

Mailing address

421 E Lancaster Ave
Apt.# C-2
Wayne, PA 19087-4228
Phone (267) 283-1245

Other providers in Chesterbrook, PA

All providers in Chesterbrook, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.