MR. GANGADAR GUBBA PHARM.D
NPI 1114474103
Pharmacist in Kennewick, WA

Active since September 07, 2016
2720 S QUILLAN STREET, WAL-MART PHARMACY (STORE: 2101), KENNEWICK, WA 99337(509) 586-1574(509) 585-1413 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gangadar Gubba Pharm.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GANGADAR GUBBA PHARM.D (NPI 1114474103) is an individual pharmacist in Kennewick, Washington, licensed in Washington (PH60128771) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1114474103
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. GANGADAR GUBBACredential: PHARM.D
Location Address2720 S QUILLAN STREET, WAL-MART PHARMACY (STORE: 2101)Kennewick, WA 99337-9702
Mailing Address2720 S Quillan Street, Wal-mart Pharmacy (store: 2101)Kennewick, WA 99337-9702 · (509) 586-1574 · Fax (509) 585-1413
Fax(509) 585-1413
Sole ProprietorNo
Enumeration DateSeptember 7, 2016
NPI 1114474103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in WA · PH60128771 Licensed in OR · RPH-0012606
Definition
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.
2720 S QUILLAN STREET, Kennewick, WA 99337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gangadar Gubba's NPI number?

The NPI number for Gangadar Gubba is 1114474103. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Gangadar Gubba located?

Gangadar Gubba practices at 2720 S Quillan Street Wal-Mart Pharmacy (store: 2101), Kennewick, WA 99337. The listed phone number is (509) 586-1574.

What is Gangadar Gubba's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gangadar Gubba was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.