Tinumala Pharmacy P C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25518 Issued in FL

Legal business name

TINUMALA PHARMACY P C

Doing business as

sunrise discount pharmacy

Practice address

4543 Pleasant Hill Rd
Ste D & E
Kissimmee, FL 34759-3403

Phone

(407) 343-4434

Fax

(407) 574-8790

NPI assigned

Jun 15, 2011

Last updated

May 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nagesh Shakhamoori

Title

President

Phone

(407) 343-4434

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• sunrise discount pharmacy Doing business as

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1912292244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 PLEASANT HILL RD",
            "address_2": "STE D & E",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593403",
            "telephone_number": "407-343-4434",
            "fax_number": "407-574-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 PLEASANT HILL RD",
            "address_2": "STE D & E",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593403",
            "telephone_number": "407-343-4434",
            "fax_number": "407-574-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINUMALA PHARMACY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "SHAKHAMOORI",
        "authorized_official_first_name": "NAGESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-343-4434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003867000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sunrise discount pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.