Mohan Krishna Thotakura, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

021386 Issued in GA

Practice address

2695 Bufford Hwy
Suite 200
Atlanta, GA 30324

Phone

(404) 616-3031

Fax

(404) 616-3904

NPI assigned

Nov 2, 2022

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1225745813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 BUFFORD HWY",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "404-616-3031",
            "fax_number": "404-616-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 BUFFORD HWY",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "404-616-3031",
            "fax_number": "404-616-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTAKURA",
        "first_name": "MOHAN KRISHNA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "021386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2695 BUFFORD HWY",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terease Renee Thornton, AGNP-C
• Joseph Thorp, LMSW
• Thorpe Therapy
• Princess Thorpe, MFT
• Shannon Fatehi Thorsteinson, D.M.D.
• Amber Thrash, RBT
• Brooke Thrasher
• Kelly Burton Thrasher, M.D.
• Kenya Thrasher
• Jamie Lyall Threatt, DNP, AGACNP-BC

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.