Active NPI
Gangadharam Galla
- Pharmacist
- Lufkin, TX
National Provider Identifier
1447851217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47347
- Practice address
- 2500 Daniel McCall Dr
Lufkin, TX 75904-7129 - Phone
- (936) 639-2275
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Male
- 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 | 47347 | TX | Primary |
Addresses
Primary practice location
2500 Daniel McCall Dr
Lufkin, TX 75904-7129
Mailing address
2225 Gulfstream Dr
Little Elm, TX 75068-5978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1447851217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 GULFSTREAM DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 DANIEL MCCALL DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759047129",
"telephone_number": "936-639-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLA",
"first_name": "GANGADHARAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.