Active NPI
Koteswara Rao Nalamolu
- Pharmacist
- Fresno, CA
National Provider Identifier
1598330516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- INT47922
- Practice address
- 7072 N Cedar Ave
Fresno, CA 93720-3300 - Phone
- (919) 986-0153
- NPI assigned
- May 21, 2021
- Sex
- Male
- 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 | INT47922 | CA | Primary |
Addresses
Primary practice location
7072 N Cedar Ave
Fresno, CA 93720-3300
Mailing address
262 N Pierce Ave
Clovis, CA 93612-0175
Phone (309) 216-4381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y7311243 | Other | CA | CALIFORNIA DEPARTMENT OF MOTOR VEHICLES |
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 |
|---|---|---|---|
| INT47922 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1598330516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 N PIERCE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936120175",
"telephone_number": "309-216-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7072 N CEDAR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203300",
"telephone_number": "919-986-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALAMOLU",
"first_name": "KOTESWARA RAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "INT47922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DEPARTMENT OF MOTOR VEHICLES",
"identifier": "Y7311243",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.