Mookambika Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOOKAMBIKA INC

Practice address

30 W Main St
Hartford, MI 49057-1005

Phone

(269) 501-7359

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gitendra Bommareddy, RPHNPI 1508090242

Title

President/Owner

Phone

(269) 501-7359

Specialties & licenses 1

Addresses

Tax ID family

Hartford Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mookambika Inc

  • Long Term Care Pharmacy
  • Hartford, MI
  • NPI 1942182183
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gitendra Bommareddy, R.PH

  • Pharmacist
  • Lutz, FL
  • NPI 1508090242
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1124857610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23170 SCAGLIONE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495763",
            "telephone_number": "269-501-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571005",
            "telephone_number": "269-501-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOKAMBIKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BOMMAREDDY",
        "authorized_official_first_name": "GITENDRA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "269-501-7359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samie Ledyard, LLPC, MA
• Edward William Liebenthal, D.D.S.
• Sue Eileen Liebenthal, D.D.S.
• Laura M Long
• Ahad E Lotfi, DC
• Mookambika Inc
• Riley Michelle Munson
• Lisa Marie Pearson, LMSW
• Amanda Crystal-Dawn Ramtahal, LLMSW
• Subhaschandra Reddy Ravi, MD

• Community/Retail Pharmacy in Hartford, MI
• Providers in Hartford, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.