Pavankumar Rambhatla, RPH, CIP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP437387 Issued in PA

Practice address

111 S Front St Ste 1
Harrisburg, PA 17101-2010

Phone

(717) 782-3200

Fax

(717) 782-5507

NPI assigned

Jun 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Pinnacle Health Hospitals

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1558731588
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1407946429
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952538845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST STE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012099",
            "telephone_number": "717-782-3200",
            "fax_number": "717-782-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST STE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-782-3200",
            "fax_number": "717-782-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBHATLA",
        "first_name": "PAVANKUMAR",
        "credential": "RPH, CIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP437387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prambhatla8381@phsdirect.pinnaclehealth.org",
            "affiliation": "Y",
            "address_1": "111 S Front St Ste 1",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren R Radtka, CRNA
• Karen L Rafferty-Hornung, PSY.D.
• Jason G Rahme, MD
• Jeffrey Lee Rajchel, DDS
• Medhavi Rajput, MD
• David J Rambo
• Claudia Ramirez
• John Ramirez, PH.D
• Joshua Ramirez, LPC
• Sarah Ines Ramirez, M.D.

• Pharmacist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.