Umamaheswar Siripurapu, PHARMACIST
Individual provider Active NPI Pharmacist · Glenside, PA
NPI 1710348693 · NPPES record last updated Mar 18, 2016
Key facts
- NPI
- 1710348693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP440649 (PA)
- Practice address
- 241 N Keswick Ave
Glenside, PA 19038-4803 - Phone
- (215) 572-1118
- NPI assigned
- Mar 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP440649 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careforce MD LLC | Past | Accepting new patients | |
| Adams Discount Chemists LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP440649 | PA | Yes |
Addresses
Primary practice location
241 N Keswick Ave
Glenside, PA 19038-4803
Mailing address
241 N Keswick Ave
Glenside, PA 19038-4803
Phone (215) 572-1118
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.