Sesha Rao Achanta
Individual provider Active NPI Pharmacist · Rockledge, FL
NPI 1609082585 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609082585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS41049 (FL)
- Practice address
- 5270 Babcock St
Rockledge, FL 32955 - Phone
- (321) 728-7041
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41049 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41049 | FL | Yes |
Addresses
Primary practice location
5270 Babcock St
Rockledge, FL 32955
Mailing address
1626 Peregrine Circle
#201
Rockledge, FL 32955
Phone (321) 961-2378
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.