Suresh B Kota, PH.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15733 Issued in NC

Practice address

535 Hickorywood Blvd
Cary, NC 27519-9534

Phone

(919) 461-0843

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831219583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HICKORYWOOD BLVD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199534",
            "telephone_number": "919-461-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HICKORYWOOD BLVD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199534",
            "telephone_number": "919-461-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTA",
        "first_name": "SURESH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15733",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14873",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "13822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim Koroma
• Marissa Ann Koshy, PA-C
• Susana Kosir
• Jenna Kate Koster, PA
• Stephen F Kosterman, D.C.
• Nisha Kotecha, F.N.P.
• Justin Koteff, PHARM.D.
• Venkata M Kothapalli, RPH, PHD
• Kaitlin Torres Kotnik, PA-C
• Emily Hope Kouba, LCSW

• Pharmacist in Cary, NC
• Providers in Cary, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.