Individual provider Active NPI

Kalpana Gottipati

  • Pharmacist
  • Garner, NC
National Provider Identifier
1629377403
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20159 Issued in NC
Practice address
2311 Timber Dr
Garner, NC 27529-2586
Phone
(919) 661-7799
Fax
(919) 661-9667
NPI assigned
Mar 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20159 NC Primary
Pharmacist 183500000X PS 43089 FL

Addresses

Primary practice location

2311 Timber Dr
Garner, NC 27529-2586

Mailing address

2311 Timber Dr
Garner, NC 27529-2586
Phone (919) 661-7799

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

LicenseStateTypeSpecialty
PS 43089FLMDPharmacist
20159NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300579200000",
    "number": "1629377403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292586",
            "telephone_number": "919-661-7799",
            "fax_number": "919-661-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292586",
            "telephone_number": "919-661-7799",
            "fax_number": "919-661-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTIPATI",
        "first_name": "KALPANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2011-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20159",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 43089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

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

Verify at the official NPI Registry.