Individual provider Active NPI

Sireesh Kumar Thummalapally, R.PH

  • Pharmacist
  • New York, NY
National Provider Identifier
1053637744
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
000172-1 Issued in NY
Practice address
471 Lenox Ave
Life Pharmacy
New York, NY 10037-3000
Phone
(212) 694-5700
Fax
(212) 694-5794
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 000172-1 NY Primary

Addresses

Primary practice location

471 Lenox Ave
Life Pharmacy
New York, NY 10037-3000

Mailing address

109 Recklesstown Way
Chesterfield, NJ 08515-9768
Phone (609) 324-3515

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

LicenseStateTypeSpecialty
000172-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Pharma II Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1053637744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RECKLESSTOWN WAY",
            "city": "CHESTERFIELD",
            "state": "NJ",
            "postal_code": "085159768",
            "telephone_number": "609-324-3515",
            "fax_number": "609-324-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 LENOX AVE",
            "address_2": "LIFE PHARMACY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373000",
            "telephone_number": "212-694-5700",
            "fax_number": "212-694-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMMALAPALLY",
        "first_name": "SIREESH",
        "middle_name": "KUMAR",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "000172-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.