Active NPI
Bhavya R Kolli
- Pharmacist
- Pflugerville, TX
National Provider Identifier
1417765215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75241
- Practice address
- 1509 E Wells Branch Pkwy
Pflugerville, TX 78660-3679 - Phone
- (512) 687-0552
- NPI assigned
- Dec 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75241 | TX | Primary |
Addresses
Primary practice location
1509 E Wells Branch Pkwy
Pflugerville, TX 78660-3679
Mailing address
1509 E Wells Branch Pkwy
Pflugerville, TX 78660-3679
Phone (512) 687-0552
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 |
|---|---|---|---|
| 75241 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1509 E Wells Branch Pkwy
Pflugerville, TX 78660
Phone (512) 687-0552
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735084800000",
"number": "1417765215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 E WELLS BRANCH PKWY",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603679",
"telephone_number": "512-687-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 E WELLS BRANCH PKWY",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603679",
"telephone_number": "512-687-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLI",
"first_name": "BHAVYA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-25",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.