Srini Mandava, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60153685 Issued in WA

Practice address

1206 N 40TH Ave
Yakima, WA 98908-9456

Phone

(509) 576-6833

NPI assigned

Feb 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Fred Meyer Stores Inc

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1184669251
  NPD (past)
• Fred Meyer Stores Inc.

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1396018487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089456",
            "telephone_number": "509-576-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089456",
            "telephone_number": "509-576-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Commerce Ln",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989015801",
            "country_code": "US",
            "telephone_number": "886-983-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "SRINI",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 60153685",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60153685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Dennis Mallonee, L.I.C.S.W.
• Madeline Malmstrom
• Colin Joseph Malone, DDS
• Kelsy Anne Maloney, RN
• Idolina Maltos, PA
• Rachana Mandru, MD
• Damaris Manjarrez, LMP
• Luz Manjarrez
• Siva Krishna Mannem, MD
• Tanairi Mansfield

• Pharmacist in Yakima, WA
• Providers in Yakima, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.