Active NPI
Rao S Piratla, PHARMD
- Pharmacist
- Crofton, MD
National Provider Identifier
1699050153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12584
- Practice address
- 2322 Putnam LN
Crofton, MD 21114-1646 - Phone
- (410) 451-0757
- NPI assigned
- Oct 17, 2011
- 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 | 12584 | MD | Primary |
Addresses
Primary practice location
2322 Putnam LN
Crofton, MD 21114-1646
Mailing address
2322 Putnam LN
Crofton, MD 21114-1646
Phone (410) 451-0757
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 |
|---|---|---|---|
| 12584 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1699050153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 PUTNAM LN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141646",
"telephone_number": "410-451-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 PUTNAM LN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141646",
"telephone_number": "410-451-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRATLA",
"first_name": "RAO",
"middle_name": "S",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.