Lakshmi Menon Gopalan, RPH
Individual provider Active NPI Pharmacist · Monaca, PA
NPI 1326780313 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1326780313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26021371A (IN)
- Practice address
- 3950 Brodhead Rd Ste 330
Monaca, PA 15061-3030 - Phone
- (888) 350-6337
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027800 | GA | MD | Pharmacist |
| 051293771 | IL | MD | Pharmacist |
| 26021371A | IN | MD | Pharmacist |
| 14084-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14084-40 | WI | |
| Pharmacist | 183500000X | RPH027800 | GA | |
| Pharmacist | 183500000X | 26021371A | IN | Yes |
| Pharmacist | 183500000X | 051293771 | IL |
Addresses
Primary practice location
3950 Brodhead Rd Ste 330
Monaca, PA 15061-3030
Mailing address
13636 Falcon Way
Fishers, IN 46055-9374
Phone (317) 979-6096
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.