Active NPI
Gollapudi Siva Shankar, MS, PHARMD, PHC, BCP
- Psychiatric Pharmacist
- Laredo, TX
National Provider Identifier
1174528046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 40595
- Practice address
- 4602 N Bartlett Ave
Laredo, TX 78041-3803 - Phone
- (956) 523-7850
- Fax
- (956) 523-7851
- NPI assigned
- Jun 16, 2005
- Last updated
- May 31, 2016
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 40595 | CA | Primary |
Addresses
Primary practice location
4602 N Bartlett Ave
Laredo, TX 78041-3803
Mailing address
4602 N Bartlett Ave
Laredo, TX 78045-3803
Phone (956) 523-7850
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
- Credentials
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40595 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1174528046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 N BARTLETT AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780453803",
"telephone_number": "956-523-7850",
"fax_number": "956-523-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 N BARTLETT AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413803",
"telephone_number": "956-523-7850",
"fax_number": "956-523-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKAR",
"first_name": "GOLLAPUDI",
"middle_name": "SIVA",
"name_prefix": "Dr.",
"credential": "MS, PHARMD, PHC, BCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "40595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
- Michael Scott Setliff, D.C.
- Seven Flags Anesthesia Associates, PLLC
- Seventeen Lac Inc. (Care Stat;'s Buena Aventura)
- Shah Eye Center, P.a.
- Ishan Shah
- Jeffry John Shellenberger, M.D.
- Jia Ming Shi, DMD
- Shiloh Medical Supply DME LLC (Shiloh Medical Supplies DME LLC)
- Shoe Specialists of Laredo & Medical Supply LLC
- Shoe Specialists of Laredo & Medical Supply LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.