Active NPI
Suvarna Kodumuru
- Pharmacist
- Tampa, FL
National Provider Identifier
1396348934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43366
- Practice address
- 1010 E Busch Blvd Ste 109
Tampa, FL 33612-8502 - Phone
- (813) 284-7505
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43366 | FL | Primary |
Addresses
Primary practice location
1010 E Busch Blvd Ste 109
Tampa, FL 33612-8502
Mailing address
7920 Citrus Garden Dr Apt 103
Tampa, FL 33625-2529
Phone (989) 909-4228
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 |
|---|---|---|---|
| PS43366 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampabay RX LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1396348934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 CITRUS GARDEN DR APT 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336252529",
"telephone_number": "989-909-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E BUSCH BLVD STE 109",
"city": "TAMPA",
"state": "FL",
"postal_code": "336128502",
"telephone_number": "813-284-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODUMURU",
"first_name": "SUVARNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.