Siva Kumar Palakurthi

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39933 Issued in FL

Practice address

15395 NW 82ND Ave
Miami Lakes, FL 33016-6478

Phone

(305) 364-1143

NPI assigned

Dec 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1891390456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15395 NW 82ND AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166478",
            "telephone_number": "305-364-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15395 NW 82ND AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166478",
            "telephone_number": "305-364-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAKURTHI",
        "first_name": "SIVA KUMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenicel Padron, MSOTR/L
• Mayber Paez Gallardo
• Ileana Paez
• Pain Specialists of Miami Lakes Corp
• Rachely Palacios, RBT-23-297203
• Ana Maria Palli Martinez
• Palm Springs Community Health Center Corp
• Palmetto Lakes Wellness Center Inc
• Palmetto Living Facility, Inc.
• Palmetto Smile Center PA

• Pharmacist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.