Individual provider Active NPI

Sai Priya Marrapu, PHARMACIST

  • Pharmacist
  • Wake Village, TX
National Provider Identifier
1770243263
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66498 Issued in TX
Practice address
4415 W 7TH St
Wake Village, TX 75501-6351
Phone
(903) 831-7226
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66498 TX Primary

Addresses

Primary practice location

4415 W 7TH St
Wake Village, TX 75501-6351

Mailing address

5911 Richmond Rd Apt 6104
Texarkana, TX 75503-1206
Phone (313) 784-0666

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
66498TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1770243263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 RICHMOND RD APT 6104",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031206",
            "telephone_number": "313-784-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 W 7TH ST",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755016351",
            "telephone_number": "903-831-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRAPU",
        "first_name": "SAI PRIYA",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.