NAGA MALLIKA SURAPANENI (NPI# 1497048631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497048631 |
| Entity Type | Individual |
| Full Name | NAGA MALLIKA SURAPANENI |
| Practice Address |
691 Sleater Kinney Rd Se Lacey WA 98503-1007 |
| Mailing Address |
2877 Danbury Ln Sw Apt 1522 Tumwater WA 98512-7866 |
| Practice Telephone | 3604914111 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60066438 | WA | Pharmacy Service Providers |
| Street Address |
691 SLEATER KINNEY RD SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396037735 | Edith Uchenna Naze | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2011-05-04 |
| 1952901183 | Saemyi Pak | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2020-10-27 |
| 1780196782 | Hannah Elizabeth Fox | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2017-10-31 |
| 1962913517 | Nghiep Cong Nguyen | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2017-10-22 |
| 1790186906 | Joanne Daproza Sablan | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2014-09-07 |
| 1902198625 | Tom Michael Liederbach | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
|---|---|---|---|---|
| 1790335677 | Mercy N Macharia | Pharmacist | 4625 45th Ave Se, Lacey, WA 98503-5942 | 2019-09-12 |
| 1245711043 | Jiyeon Han | Pharmacist | 6619 Britton Pkwy Ne Apt 309, Lacey, WA 98516-4572 | 2018-08-28 |
| 1851751291 | Jennifer Austin | Pharmacist | 5707 Lacey Blvd Se Ste 103, Lacey, WA 98503-2496 | 2016-02-27 |
| 1114320835 | Michael Herman | Pharmacist | 1138 Golf Club Rd Se, Apt 102, Lacey, WA 98503-2393 | 2014-10-08 |
| 1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1922361898 | Srawan Kumar Thodupunoori | Pharmacist | 6100 Pacific Ave Se, Lacey, WA 98503-1358 | 2012-06-16 |
| 1154694123 | Victoria Urankar Byrd | Pharmacist | 3897 Cameron Dr Ne, Lacey, WA 98516-3888 | 2012-02-21 |
| 1932492246 | Denise Byrne | Pharmacist | 4776 Whitman Ln Se, Lacey, WA 98513-2246 | 2011-05-18 |
| 1396037735 | Edith Uchenna Naze | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2011-05-04 |
| Find all providers in LACEY | ||||
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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.