Leela Kodali, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042681 Issued in NY

Practice address

444 Hillside Ave
Williston Park, NY 11596-2109

Phone

(516) 742-0833

NPI assigned

Nov 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195689600000",
    "number": "1245411974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DE CHIARO LN",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961008",
            "telephone_number": "516-739-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962109",
            "telephone_number": "516-742-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "LEELA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-22",
        "last_updated": "2007-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01020891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kimyaghalam, PHARMD
• Marina Klappas, DDS
• David A Klebanow, DMD
• Rebecca Anne Klein, SLP
• Christine F Koch, DC
• Aphrodite M. Koinoglou, N.P.
• Tiffany Konklewski, DDS
• Jennifer Kourassanis-Velasquez, BCBA
• Ashley Sarah Kreiner
• Kimberly Krupa, BCBA

• Pharmacist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2007; 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.