Satheesh Komma

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PCT.0010229 Issued in CT

Practice address

150 Barnum Avenue Cutoff
Stratford, CT 06614-5111

Phone

(203) 502-7629

Fax

(203) 502-7655

NPI assigned

Dec 13, 2011

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1497023816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BARNUM AVENUE CUTOFF",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145111",
            "telephone_number": "203-502-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BARNUM AVENUE CUTOFF",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145111",
            "telephone_number": "203-502-7629",
            "fax_number": "203-502-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMA",
        "first_name": "SATHEESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CT",
            "license": "PCT.0010229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Frances, LMFT, LLC
• Heba R Khalil
• William L King III, PT
• Kristen Michelle Kinslow, PA-C
• Bruce Roy Klein, MSW
• Christina Konopka
• Mark Konopka, D.C.
• Zachary F Korwin
• Olena Koval, PHARMD
• Kaho Kracke, MA, CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Stratford, CT
• Providers in Stratford, CT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.