Aji Kannamala

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS38635 Issued in FL

Practice address

1145 Homestead Rd
Lehigh Acres
Lehigh Acres, FL 33976

Phone

(239) 368-2100

Fax

(239) 368-2289

NPI assigned

Jan 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Winn-Dixie Pharmacy Professional name

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.

• Eye Mountain Cares LLC

  • Home Health Agency
  • Odessa, FL
  • NPI 1346054384
  NPD Authorized official

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1396167342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HOMESTEAD RD N",
            "address_2": "LEHIGH ACRES",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366039",
            "telephone_number": "239-368-2100",
            "fax_number": "239-368-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 HOMESTEAD RD",
            "address_2": "LEHIGH ACRES",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33976",
            "telephone_number": "239-368-2100",
            "fax_number": "239-368-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAMALA",
        "first_name": "AJI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINN-DIXIE",
            "last_name": "PHARMACY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• K and L Loving Care of Lehigh Acres Assisted Living Facility Inc.
• Ka Caring Hearts Home Care Agency LLC
• Kagan, Jugan & Associates
• Karen Kain, BCBA
• Sheeja A Kanacheril, D.O.
• Kay'S Kindest Home Caregivers
• Haley Keck
• Lusinel Kelton
• Kenzie Kare Group Home
• Keys Cardiology PA

• Pharmacist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.