Ravi Kumar Kolluri, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

025434 Issued in GA

Practice address

2960 Shallowford Rd
Marietta, GA 30066-3094

Phone

(770) 977-3640

NPI assigned

Jan 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1427073105
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1811921620
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1265063143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 STONE HALL DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625061",
            "telephone_number": "540-892-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SHALLOWFORD RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663094",
            "telephone_number": "770-977-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLURI",
        "first_name": "RAVI",
        "middle_name": "KUMAR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "025434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Koechle, FNP
• Archana Koganti, MD
• Alexander Kohl
• Ritesh Kohli, M.D.
• Oloruntosin Kolawole
• Ross A Kommor, MD
• Helen Konoma, RN
• Romain Enyonam Konou, OPTICIAN
• Heather R Kontos, PT
• Areum Koo, RBT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.