Nanda Kishor Kommineni

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61958 Issued in FL

Practice address

2322 Land O Lakes Blvd
Lutz, FL 33549-2919

Phone

(813) 949-3641

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1962005686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 JASMINE BROOK CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 LAND O LAKES BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492919",
            "telephone_number": "813-949-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMINENI",
        "first_name": "NANDA",
        "middle_name": "KISHOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH237483",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander David Knight, DO
• Lawrence Elwood Knight
• John Knisley, PHARMD.
• Meredith Knitch, LMHC
• Robert F. Koch, D.O.
• Averi Laine Kosloske
• Sophia Nikolay Kosturova
• Vivian Nia Koufogazos, PA-C
• Ryan Krupnick
• Derrick Michael Kugel

• Pharmacist in Lutz, FL
• Providers in Lutz, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.