Sirisha Kandi, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03002800 Issued in NJ

Practice address

3230 Martin Luther King Jr Blvd
Dallas, TX 75210-2417

Phone

(214) 421-1067

NPI assigned

Oct 31, 2009

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Fiesta Lifecare Pharmacy 5 LLC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1104377332
  NPD Authorized official

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1447586185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 CONDOR DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195985",
            "telephone_number": "972-652-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102417",
            "telephone_number": "214-421-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 Condor Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195985",
            "country_code": "US",
            "telephone_number": "972-652-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDI",
        "first_name": "SIRISHA",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36978",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nadeem Kandalaft, MD
• Michelle Rima Kandalaft, PH.D.
• Nicolas N Kandalaft, MD
• Asha Kandathil, M.D
• Kander Counseling and Consulting
• Enas Kandil, MD
• Eugieneo Kandoth, MD
• Alex A Kane, MD
• Colin Edward Kane, M.D.
• Erin P Kane, MD

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.