Active NPI
Bhavani Kota, RPH
- Pharmacist
- Waterbury, CT
National Provider Identifier
1669755922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10701
- Practice address
- 20 E Main St
Waterbury, CT 06702-2302 - Phone
- (203) 753-1116
- Fax
- (203) 753-1117
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- Sex
- Female
- 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 | 10701 | CT | Primary |
Addresses
Primary practice location
20 E Main St
Waterbury, CT 06702-2302
Mailing address
20 E Main St
Waterbury, CT 06702-2302
Phone (203) 753-1116
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10701 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1669755922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022302",
"telephone_number": "203-753-1116",
"fax_number": "203-753-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022302",
"telephone_number": "203-753-1116",
"fax_number": "203-753-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTA",
"first_name": "BHAVANI",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "10701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.