Active NPI
Manogna Choudary Pamidi, RPH
- Pharmacist
- Pasco, WA
National Provider Identifier
1467933655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60736800
- Practice address
- 4820 N Road 68
Pasco, WA 99301-9009 - Phone
- (509) 543-7947
- NPI assigned
- Aug 24, 2018
- 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 | PH60736800 | WA | Primary |
Addresses
Primary practice location
4820 N Road 68
Pasco, WA 99301-9009
Mailing address
1343 Diamond Loop
West Richland, WA 99353-7841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60736800 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayshuv Enterprises, LLC | Current | Accepting new patients |
Locations
7505 Sandifur Pkwy
Ste 102
Pasco, WA 99301
Phone (509) 567-7160
Organizations & group practices 1
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": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1467933655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 DIAMOND LOOP",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993537841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 N ROAD 68",
"city": "PASCO",
"state": "WA",
"postal_code": "993019009",
"telephone_number": "509-543-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMIDI",
"first_name": "MANOGNA",
"middle_name": "CHOUDARY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60736800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.