Padma Kanakamedala, is a
Pharmacist based in Ettrick, Virginia. Padma Kanakamedala is licensed to practice in Virginia (license number 0202207352) and her current practice location is
20825 Woodpecker Rd, Ettrick, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 520-0224.
NPI number for Padma Kanakamedala is 1912296054 and her current mailing address is 20825 Woodpecker Rd, Ettrick, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912296054.
Healthcare Provider's Profile
| Full Name | Padma Kanakamedala |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 20825 Woodpecker Rd, Ettrick, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912296054
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 03/29/2011
Medical Identifiers
Medical identifiers for Padma Kanakamedala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912296054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 0202207352 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Padma Kanakamedala is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Padma Kanakamedala,
20825 Woodpecker Rd,
Ettrick, VA 23803-2573
Ph: (804) 520-0224 | Padma Kanakamedala,
20825 Woodpecker Rd,
Ettrick, VA 23803-2573
Ph: (804) 520-0224 |
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