Active NPI
Ratna Kumar Kammuluri
- Pharmacist
- Manchester, CT
National Provider Identifier
1558066316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11909
- Practice address
- 149 Deming St
Manchester, CT 06042-1731 - Phone
- (860) 644-1210
- NPI assigned
- Apr 3, 2023
- 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 | 11909 | CT | Primary |
Addresses
Primary practice location
149 Deming St
Manchester, CT 06042-1731
Mailing address
39 Buckland St
Apt 11133 Building 11
Manchester, CT 06042
Phone (860) 709-4566
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1558066316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BUCKLAND ST",
"address_2": "APT 11133 BUILDING 11",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06042",
"telephone_number": "860-709-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DEMING ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060421731",
"telephone_number": "860-644-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMULURI",
"first_name": "RATNA KUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "11909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.