Individual provider Active NPI

Srilakshmi Nainala, RPH

  • Pharmacist
  • Marina del Rey, CA
National Provider Identifier
1437976487
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68750 Issued in CA
Practice address
4726 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone
(310) 301-4863
Fax
(310) 301-4865
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68750 CA Primary

Addresses

Primary practice location

4726 Lincoln Blvd
Marina del Rey, CA 90292-6902

Mailing address

4726 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone (310) 301-4863

Other practice location 1

850 S Atlantic Blvd Ste 100
Monterey Park, CA 91754-4727
Phone (626) 308-9227

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
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palu Inc Current Accepting new patients
Palu Inc CurrentSince Sep 29, 2024 Accepting new patients

Locations

4726 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 301-4863

850 S Atlantic Blvd
Ste 100
Monterey Park, CA 91754
Phone (626) 308-9227

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1437976487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926902",
            "telephone_number": "310-301-4863",
            "fax_number": "310-301-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 LINCOLN BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926902",
            "telephone_number": "310-301-4863",
            "fax_number": "310-301-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 S Atlantic Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917544727",
            "country_code": "US",
            "telephone_number": "626-308-9227",
            "fax_number": "626-308-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAINALA",
        "first_name": "SRILAKSHMI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.