Poornima Pothumarthi, PHARM D

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

PS51171 Issued in FL

Practice address

18125 N US Highway 41 Ste 107
Lutz, FL 33549-4498

Phone

(813) 333-0750

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Envision Pharmacy and Healthcare Services LLC

  • Community/Retail Pharmacy
  • Lutz, FL
  • NPI 1639666985
  NPD
• Envision Pharmacy and Healthcare Services LLC

  • Long Term Care Pharmacy
  • Lutz, FL
  • NPI 1942954086
  NPD

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1447635446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 N US HIGHWAY 41 STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494498",
            "telephone_number": "813-333-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18125 N US HIGHWAY 41 STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494498",
            "telephone_number": "813-333-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHUMARTHI",
        "first_name": "POORNIMA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "FL",
            "license": "PS51171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Pizzurro
• Diana Marcela Ponce, APRN, FNP-BC
• Renea Marie Porsch, PT, DPT, ATC
• David K Porter, LMHC
• Walter Ivan Porto Gutierrez, MSW, LCSW
• Potter Physical Therapy LLC
• Adriana Nascimento Potter, P.T.
• Mariam Poules
• Kristina Powell-Samuel, LCSW
• Ashley N Powell

• Psychiatric Pharmacist in Lutz, FL
• Providers in Lutz, FL by specialty
• Psychiatric Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.