Individual provider Active NPI

Lakshmi Ramesh Kommineni

  • Pharmacist
  • Lansdale, PA
National Provider Identifier
1740526680
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP447181 Issued in PA
Practice address
801 W Main St
Lansdale, PA 19446-2028
Phone
(267) 737-8484
Fax
(267) 737-8664
NPI assigned
Dec 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03495600 NJ
Pharmacist 183500000X RP447181 PA Primary

Addresses

Primary practice location

801 W Main St
Lansdale, PA 19446-2028

Mailing address

801 W Main St
Lansdale, PA 19446-2028
Phone (610) 584-6400

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

State licenses

LicenseStateTypeSpecialty
28RI03495600NJMDPharmacist
RP447181PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shree Anjaneya LLC Current Accepting new patients

Locations

801 W Main St
Lansdale, PA 19446
Phone (267) 737-8484

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1740526680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462028",
            "telephone_number": "610-584-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462028",
            "telephone_number": "267-737-8484",
            "fax_number": "267-737-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMINENI",
        "first_name": "LAKSHMI",
        "middle_name": "RAMESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03495600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP447181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.