Active NPI
Anil Gottimukkala, RPH
- Pharmacist
- Rio Grande City, TX
National Provider Identifier
1760799381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44017
- Practice address
- 4031 East Hyw 83
Rio Grandecity, TX 78582 - Phone
- (956) 487-0905
- Fax
- (956) 488-8754
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 44017 | TX | Primary |
Addresses
Primary practice location
4031 East Hyw 83
Rio Grandecity, TX 78582
Mailing address
4031 East Hyw 83
Rio Grandecity, TX 78582
Phone (956) 487-0905
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44017 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Popular RX LLC | Current | Accepting new patients |
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": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1760799381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 EAST HYW 83",
"city": "RIO GRANDECITY",
"state": "TX",
"postal_code": "78582",
"telephone_number": "956-487-0905",
"fax_number": "956-488-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 EAST HYW 83",
"city": "RIO GRANDECITY",
"state": "TX",
"postal_code": "78582",
"telephone_number": "956-487-0905",
"fax_number": "956-488-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTIMUKKALA",
"first_name": "ANIL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.