Active NPI
Ravikiran Nalla
- Pharmacist
- Saint Thomas, PA
National Provider Identifier
1932447257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP448538
- Practice address
- 4495 Lincoln Way W
Saint Thomas, PA 17252-9679 - Phone
- (717) 369-4636
- NPI assigned
- Jan 21, 2013
- Last updated
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03545900 | NJ | |
| Pharmacist | 183500000X | RP448538 | PA | Primary |
Addresses
Primary practice location
4495 Lincoln Way W
Saint Thomas, PA 17252-9679
Mailing address
4495 Lincoln Way W
Saint Thomas, PA 17252-9679
Phone (201) 284-9281
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03545900 | NJ | MD | Pharmacist |
| RP448538 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVM3 Pharma Inc | Current | Accepting new patients | |
| Saint Thomas RX LLC | Past | Accepting new patients | |
| Saint Thomas RX LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba McLaughlins Drug Store
- Community/Retail Pharmacy
- McConnellsburg, PA
- NPI 1063591238
-
dba Modnurxpharmacy Inc
- Community/Retail Pharmacy
- Saint Thomas, PA
- NPI 1760563720
-
dba St Thomas Apothecary
- Long Term Care Pharmacy
- Saint Thomas, PA
- NPI 1770306060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1932447257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 LINCOLN WAY W",
"city": "SAINT THOMAS",
"state": "PA",
"postal_code": "172529679",
"telephone_number": "201-284-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 LINCOLN WAY W",
"city": "SAINT THOMAS",
"state": "PA",
"postal_code": "172529679",
"telephone_number": "717-369-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLA",
"first_name": "RAVIKIRAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-21",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03545900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP448538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Thomas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.