Kishore Kumar Mittapalli

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS38660 Issued in FL

Practice address

4445 Sun City Center Blvd
Sun City Center, FL 33573-5369

Phone

(813) 633-9695

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1699162628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735369",
            "telephone_number": "813-633-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735369",
            "telephone_number": "813-633-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAPALLI",
        "first_name": "KISHORE",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Beth Miller, R.D.L.D.
• James Barry Miller, MD
• Joel Cosby Miller, DO
• Esta S Minaie, DPT
• Diane Miramon
• MJ Healthy Mind Therapy Solutions, LLC
• Heather Mobley, COTA
• Donna Gail Moody, ARNP C
• Alison Moore, L.C.S.W.
• Jessica Mould, PHARMD

• Pharmacist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.