Kurian Titus Panampunna

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP443331 Issued in PA

Practice address

698 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1617

Phone

(717) 235-7544

NPI assigned

Oct 27, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1164022554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MANOR RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173568745",
            "telephone_number": "717-683-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 SHREWSBURY COMMONS AVE",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611617",
            "telephone_number": "717-235-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAMPUNNA",
        "first_name": "KURIAN",
        "middle_name": "TITUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktpanam.s02519@us.wal-mart.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "698 Shrewsbury Commons Ave",
            "city": "Shrewsbury",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173611617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Shrewsbury, PA
• Providers in Shrewsbury, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.