Active NPI
Kowsil Golla
- Pharmacist
- Bonita Springs, FL
National Provider Identifier
1497024442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43434
- Practice address
- 28100 Tamiami TRL
Bonita Springs, FL 34134-3203 - Phone
- (239) 495-8552
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- 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 | PS43434 | FL | Primary |
Addresses
Primary practice location
28100 Tamiami TRL
Bonita Springs, FL 34134-3203
Mailing address
8900 Tamiami TRL N
Naples, FL 34108-2535
Phone (239) 495-8552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43434 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1497024442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082535",
"telephone_number": "239-495-8552",
"fax_number": "239-495-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 TAMIAMI TRL",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341343203",
"telephone_number": "239-495-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLA",
"first_name": "KOWSIL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.