MR. HEMANTH KUMAR GURRALA (NPI# 1164743274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164743274 |
| Entity Type | Individual |
| Full Name | MR. HEMANTH KUMAR GURRALA |
| Practice Address |
16222 Bothell Everett Hwy Mill Creek WA 98012-1520 |
| Practice Telephone | 4257418649 |
| Practice Fax Number | 4257413741 |
| Mailing Telephone | 4257418649 |
| Mailing Fax Number | 4257413741 |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2010-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60028486 | WA | Pharmacy Service Providers |
| Street Address |
16222 BOTHELL EVERETT HWY |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174089387 | Ahmed Bassyouni | Pharmacist | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2019-02-12 |
| 1649755026 | Tisha Pae | Student in an Organized Health Care Education/Training Program | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2018-10-01 |
| 1659896249 | Lindsay Trudeau | Nurse Practitioner | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2017-08-04 |
| 1225431554 | Rediclinic of Wa, LLC | Clinic/Center | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2014-10-01 |
| 1942613823 | Loraine Brogan | Pharmacist | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2014-06-09 |
| 1114293545 | Parampaul Singh | Pharmacist | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758515 | Richard Oam | Pharmacist | 16216 29th Dr Se, Mill Creek, WA 98012-7824 | 2020-07-23 |
| 1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1962749176 | Krishna Shah | Pharmacist | 3202 132nd St Se, Mill Creek, Mill Creek, WA 98012-5624 | 2013-01-08 |
| 1598015349 | Soo Kyung Moon | Pharmacist | 32020 132nd St. Se, Mill Creek, WA 98012-5624 | 2012-09-19 |
| 1013280999 | Rima M Chahine | Pharmacist | 2123 162nd Pl Se, Mill Creek, WA 98012-8049 | 2012-02-22 |
| 1457324337 | Marci Jeanine Reynolds | Pharmacist | 926 164th St Se, Mill Creek, WA 98012-6305 | 2006-02-09 |
| 1174089387 | Ahmed Bassyouni | Pharmacist | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2019-02-12 |
| 1659879518 | Tariku C Sahele | Pharmacist | 3202 132nd St Se, Mill Creek, WA 98012-5624 | 2018-01-25 |
| 1578949863 | Candice D Pudder | Pharmacist | 1 Poling Street, Mill Creek, WV 26280-0247 | 2015-08-10 |
| Find all providers in MILL CREEK | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on MR. HEMANTH KUMAR GURRALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.