Manasa Jagarlamudi

Primary specialty

PharmacistTaxonomy code 183500000X

License

82659 Issued in CA

Practice address

5170 Moorpark Ave
San Jose, CA 95129-2139

Phone

(408) 257-9918

NPI assigned

Oct 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Longs Drug Stores California LLC

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1538101365
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1265030498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HARVARD AVE APT 2K",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516446",
            "telephone_number": "678-619-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292139",
            "telephone_number": "408-257-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGARLAMUDI",
        "first_name": "MANASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Jadali, D.O. , RPH
• Sami A Jadallah, MD
• Nisha Jadhaw, M.D.
• Shahrzad Jafarnia
• Madhuri Jagadeesh
• Suneetha Devi Jagarlamudi, M.D.
• Jagat B. Satia M.D., Inc.
• Lisa C Jager
• Akash Jaggi, MD
• Mayuri Sunil Jagirdar, MD

• Pharmacist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.