Individual provider Active NPI

Sriharsha Pulakurthi

  • Pharmacist
  • Exton, PA
National Provider Identifier
1972103638
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP451217 Issued in PA
Practice address
270 Indian Run St
Exton, PA 19341-3706
Phone
(484) 875-9587
Fax
(484) 875-9589
NPI assigned
Oct 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP451217 PA Primary

Addresses

Primary practice location

270 Indian Run St
Exton, PA 19341-3706

Mailing address

139 Bowery LN
Downingtown, PA 19335-3159
Phone (603) 988-8934

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

LicenseStateTypeSpecialty
RP451217PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1972103638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BOWERY LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353159",
            "telephone_number": "603-988-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 INDIAN RUN ST",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193413706",
            "telephone_number": "484-875-9587",
            "fax_number": "484-875-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULAKURTHI",
        "first_name": "SRIHARSHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.