Active NPI
Srawan Kumar Thodupunoori, RPH.
- Pharmacist
- Lacey, WA
National Provider Identifier
1922361898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00070004
- Practice address
- 6100 Pacific Ave SE
Lacey, WA 98503-1358 - Phone
- (360) 491-8474
- Fax
- (360) 438-3855
- NPI assigned
- Jun 16, 2012
- Last updated
- Jun 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00070004 | WA | Primary |
Addresses
Primary practice location
6100 Pacific Ave SE
Lacey, WA 98503-1358
Mailing address
6100 Pacific Ave SE
Lacey, WA 98503-1358
Phone (360) 491-8474
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00070004 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339804800000",
"number": "1922361898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 PACIFIC AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031358",
"telephone_number": "360-491-8474",
"fax_number": "360-438-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 PACIFIC AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031358",
"telephone_number": "360-491-8474",
"fax_number": "360-438-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THODUPUNOORI",
"first_name": "SRAWAN",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-16",
"last_updated": "2012-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00070004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
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- Sunil B Thimmegowda
- Andrew Thomas, CDPT
- Eric Daniel Thomas, D.O
- Kendra Lynn Thomas, MS, CCC-SLP
- Millenda Thomas, LMP
- Tarys Thomas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.