Individual provider Active NPI

Rama Narasimha Rao Maganti, RPH

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1972097004
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60778909 Issued in WA
Practice address
515 Minor Ave Ste 120
Seattle, WA 98104-2138
Phone
(206) 622-6094
Fax
(206) 622-3667
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60778909 WA Primary

Addresses

Primary practice location

515 Minor Ave Ste 120
Seattle, WA 98104-2138

Mailing address

515 Minor Ave Ste 120
Seattle, WA 98104-2138
Phone (206) 622-6094

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

LicenseStateTypeSpecialty
PH60778909WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Easterns Pharmacy LLC Current Accepting new patients
Easterns Pharmacy LLC Current Accepting new patients

Locations

515 Minor Ave
Ste 120
Seattle, WA 98104
Phone (206) 622-6094

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1972097004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042138",
            "telephone_number": "206-622-6094",
            "fax_number": "206-622-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042138",
            "telephone_number": "206-622-6094",
            "fax_number": "206-622-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANTI",
        "first_name": "RAMA NARASIMHA RAO",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60778909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.