Minnu Omanakuttan

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP456701 Issued in PA

Practice address

94 N Malin Rd
Broomall, PA 19008-1431

Phone

(215) 909-2620

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1699409904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 N MALIN RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081431",
            "telephone_number": "215-909-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N MALIN RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081431",
            "telephone_number": "215-909-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANAKUTTAN",
        "first_name": "MINNU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "url",
            "affiliation": "N",
            "address_1": "94 N Malin Rd",
            "city": "Broomall",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190081431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosemary Ann O'Halloran, PT, DPT, LAT, ATC
• Shaula Gail Ocampo
• Seamus Oconnor, MA, MS, MT-BC
• Madeline Teri Olivier
• Maleita Marguerite Olson, LCSW
• Madeline Omrod, LSW
• Kayla Rae Oneill
• Jessica Folajimi Ope-Oluwadare
• Optimeyes Vision Development LLC
• Pace Foot and Ankle Centers PLLC

• Pharmacist in Broomall, PA
• Providers in Broomall, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.