Individual provider Active NPI

Srinivasa Arrabelli, RPH

  • Pharmacist
  • Lehigh Acres, FL
National Provider Identifier
1528321361
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45859 Issued in FL
Practice address
1145 Homestead Rd N
Lehigh Acres, FL 33936-6039
Phone
(239) 368-2100
NPI assigned
Jun 18, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45859 FL Primary
Pharmacist 183500000X 5302037384 MI
Pharmacist 183500000X PU6891 FL

Addresses

Primary practice location

1145 Homestead Rd N
Lehigh Acres, FL 33936-6039

Mailing address

1145 Homestead Rd N
Winn-Dixie Pharmacy
Lehigh Acres, FL 33936-2010

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

LicenseStateTypeSpecialty
PS45859FLMDPharmacist
PU6891FLMDPharmacist
5302037384MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1528321361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HOMESTEAD RD N",
            "address_2": "WINN-DIXIE PHARMACY",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339362010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 HOMESTEAD RD N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366039",
            "telephone_number": "239-368-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRABELLI",
        "first_name": "SRINIVASA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45859",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037384",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU6891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.