Individual provider Active NPI

Srinivasa R Kolli, PHARMACIST

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1851385777
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044238 Issued in NY
Practice address
1227 Ogden Ave
Bronx, NY 10452-3500
Phone
(718) 293-8777
Fax
(718) 992-1211
NPI assigned
Sep 7, 2005
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044238 NY Primary

Addresses

Primary practice location

1227 Ogden Ave
Bronx, NY 10452-3500

Mailing address

23 Shadow Ridge Rd
Stamford
Stamford, CT 06905-1800
Phone (203) 968-1444

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
044238NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SRK Pharmacy Inc CurrentSince Feb 23, 2025 Accepting new patients
V & K Pharmacy Inc PastSince Feb 23, 2025 Accepting new patients

Locations

1227 Ogden Ave
Bronx, NY 10452
Phone (718) 293-8777

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1851385777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHADOW RIDGE RD",
            "address_2": "STAMFORD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051800",
            "telephone_number": "203-968-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 OGDEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523500",
            "telephone_number": "718-293-8777",
            "fax_number": "718-992-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "SRINIVASA",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.