Shesha Sivarama Pras Lakkaraju Venkata

Primary specialty

PharmacistTaxonomy code 183500000X

License

64353 Issued in TX

Practice address

1605 S 31 St Suite 19
Temple, TX 76508-0001

Phone

(254) 215-9100

Fax

(254) 215-9106

NPI assigned

Dec 3, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1053916247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 ALAMEDA TRACE CIR APT 1223",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276456",
            "telephone_number": "608-201-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S 31 ST SUITE 19",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-215-9100",
            "fax_number": "254-215-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKKARAJU VENKATA",
        "first_name": "SHESHA SIVARAMA PRAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Lagge, LPC
• Artor Dychingco Lagumen Jr.
• Bridgette Marie Lai, PHARMD
• Daniel Lairmore, LPC
• Lakewood Dental Trails
• Chad Christopher Lala, PA-C
• Kelli K Lala, PA-C
• Kimberly Lally, M.D.
• Stephanie Diane Lalouette, LPC
• Erin Lamar, M.S., CCC-SLP

• Pharmacist in Temple, TX
• Providers in Temple, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.