SRINIVAS KODURU (NPI# 1518252444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518252444 |
| Entity Type | Individual |
| Full Name | SRINIVAS KODURU |
| Credential | RPH |
| Practice Address |
466 Utah St Paramus NJ 07652-5632 |
| Practice Telephone | 3474537985 |
| Mailing Telephone | 3474537985 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 048808-1 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY STATE LICENSE | 048808-1 | 01 |
| Street Address |
466 UTAH ST |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| 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 |
|---|---|---|---|---|
| 1942860143 | Kaushal Chandresh Vaidya | Pharmacist | 1 W Ridgewood Ave Ste 100, Paramus, NJ 07652-2359 | 2019-06-19 |
| 1174001820 | Bethsy Jacob | Pharmacist | 61 E Ridgewood Ave, Paramus, NJ 07652-3609 | 2018-08-04 |
| 1518403815 | Gi Hyue Park | Pharmacist | 1 Kalisa Way Ste 104, Paramus, NJ 07652-3538 | 2017-01-10 |
| 1265977516 | Tintu Alexander | Pharmacist | 61 E Ridgewood Ave # B, Paramus, NJ 07652-3609 | 2016-12-22 |
| 1487196689 | Shannon Cherian | Pharmacist | 417 Forest Ave, Paramus, NJ 07652-5520 | 2016-11-06 |
| 1174970917 | Moon Kim | Pharmacist | 58 Ardale Rd, Paramus, NJ 07652-2602 | 2016-05-23 |
| 1689032823 | Kajal Viradia | Pharmacist | 438 Polly Ann Ter, Paramus, NJ 07652-4139 | 2016-02-02 |
| 1619396520 | Shaila Patel | Pharmacist | 611 Mill Run, Paramus, NJ 07652-1754 | 2014-04-08 |
| 1801169271 | Minal N Mosca | Pharmacist | 61b East Ridgewood Avenue, Paramus, NJ 07652 | 2012-02-16 |
| 1124324892 | Hetal Amin | Pharmacist | 301 Justin Ct, Paramus, NJ 07652-5348 | 2011-01-28 |
| Find all providers in PARAMUS | ||||
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| 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.