Active NPI
Pooja Gumudavelli, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1689553810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 072976
- Practice address
- 72 E 167TH St
Bronx, NY 10452-8203 - Phone
- (718) 538-8100
- NPI assigned
- Sep 1, 2025
- Last updated
- Sep 1, 2025
- 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 | 072976 | NY | Primary |
Addresses
Primary practice location
72 E 167TH St
Bronx, NY 10452-8203
Mailing address
30 Kady LN
Kendall Park, NJ 08824-1471
Phone (208) 409-2615
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072976 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Photo and Beauty Supplies Corp. | Pharmacist | Past | Accepting new patients |
| Scriptrx Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1689553810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 KADY LN",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241471",
"telephone_number": "208-409-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 E 167TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104528203",
"telephone_number": "718-538-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMUDAVELLI",
"first_name": "POOJA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "072976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Vivek V. Gumaste, M.D.
- Maci Danielle Gumbs
- Maudina S Gumbs, M.D.
- Ravinder Reddy Gummakonda, RPH
- Tyler Alexander Gumpel, MD
- Gun Hill Dental Associates, PC
- Gun Hill Dental PC (Dental Specialties of NY)
- Gun Hill Medical Pavilion for Women, PC
- Gun Hill MRI (Montefiore Vascular Access)
- Gun Hill MRI PC (Montefiore Advanced Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.