Active NPI
Santosh Reddy Katta, PHARMD
- Pharmacist
- Clermont, FL
National Provider Identifier
1487316253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS63369
- Practice address
- 17445 US Highway 192
Clermont, FL 34714-7016 - Phone
- (352) 243-0785
- NPI assigned
- Oct 9, 2021
- Sex
- Male
- 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 | PS63369 | FL | Primary |
Addresses
Primary practice location
17445 US Highway 192
Clermont, FL 34714-7016
Mailing address
9848 Crenshaw Cir
Clermont, FL 34711-5324
Phone (352) 242-6436
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS63369 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633737600000",
"number": "1487316253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9848 CRENSHAW CIR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115324",
"telephone_number": "352-242-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17445 US HIGHWAY 192",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347147016",
"telephone_number": "352-243-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTA",
"first_name": "SANTOSH",
"middle_name": "REDDY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-09",
"last_updated": "2021-10-09",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.