Active NPI
Lakshmi Sirisha Kandula
- Pharmacist
- Greensboro, NC
National Provider Identifier
1265789085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21733
- Practice address
- 5710 High Point Rd Ste Z
Greensboro, NC 27407-7047 - Phone
- (336) 632-4141
- NPI assigned
- Aug 10, 2012
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0004291 | DE | |
| Pharmacist | 183500000X | 21733 | NC | Primary |
Addresses
Primary practice location
5710 High Point Rd Ste Z
Greensboro, NC 27407-7047
Mailing address
5710 High Point Rd Ste Z
Greensboro, NC 27407-7047
Phone (336) 632-4141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0004291 | DE | MD | Pharmacist |
| 21733 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1265789085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 HIGH POINT RD STE Z",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077047",
"telephone_number": "336-632-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 HIGH POINT RD STE Z",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077047",
"telephone_number": "336-632-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDULA",
"first_name": "LAKSHMI",
"middle_name": "SIRISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004291",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.