Hareesh Kumar Reddy Palli, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2007003344 Issued in MO

Practice address

659 Big Bend Rd
Manchester, MO 63021-7723

Phone

(636) 438-5095

NPI assigned

Sep 27, 2011

Last updated

Mar 7, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puremeds LLC

  dba Big Bend Pharmacy

  • Community/Retail Pharmacy
  • Manchester, MO
  • NPI 1104571363
  NPD Authorized official
• Walgreen Co

  dba Walgreens #01107

  • Pharmacy
  • Saint Louis, MO
  • NPI 1467467605
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1104109974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 BIG BEND RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-438-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 BIG BEND RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-438-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLI",
        "first_name": "HAREESH KUMAR REDDY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007003344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nour Medical Spa
• A Rand Olson, D.C., P.C.
• One Harmony Health Care LLC
• Jonathan Stephen Osterkamp, PHARM. D.
• Ozone Consulting STL (Urgent Specialists)
• Kandi Lakita Parson
• Anthony Pasek, D.C.
• Andrea Peabody
• Lillian Sarah Pernoud, MED, LPC, NCC
• Sarina T Phatak, MD

• Pharmacist in Manchester, MO
• Providers in Manchester, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.