Active NPI
Kamalakar Tunuguntla
- Pharmacist
- Glen Burnie, MD
National Provider Identifier
1154924983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20342
- Practice address
- 7571 Ritchie Hwy
Glen Burnie, MD 21061-3716 - Phone
- (410) 761-3443
- Fax
- (410) 590-1986
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20342 | MD | Primary |
Addresses
Primary practice location
7571 Ritchie Hwy
Glen Burnie, MD 21061-3716
Mailing address
7571 Ritchie Hwy
Glen Burnie, MD 21061-3716
Phone (410) 761-3443
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20342 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & M Pharmacy 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": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1154924983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7571 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613716",
"telephone_number": "410-761-3443",
"fax_number": "410-590-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7571 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613716",
"telephone_number": "410-761-3443",
"fax_number": "410-590-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNUGUNTLA",
"first_name": "KAMALAKAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.