Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVI KUMAR KOLLURI RPH
NPI 1265063143
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Marietta, GA

Active since January 30, 2020
2960 SHALLOWFORD RD, MARIETTA, GA 30066(770) 977-3640 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ravi Kumar Kolluri Rph NPPES

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

RAVI KUMAR KOLLURI RPH (NPI 1265063143) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Marietta, Georgia, licensed in Georgia (025434) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1265063143
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameRAVI KUMAR KOLLURICredential: RPH
Location Address2960 SHALLOWFORD RDMarietta, GA 30066-3094
Mailing Address2753 Stone Hall DrMarietta, GA 30062-5061 · (540) 892-4635
Sole ProprietorNo
Enumeration DateJanuary 30, 2020
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1265063143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in GA · 025434
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
2960 SHALLOWFORD RD, Marietta, GA 30066

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2960 SHALLOWFORD RD, SUITE 301
MARIETTA, GA 30066
Pharmacy (Community/Retail Pharmacy)
2960 SHALLOWFORD RD
MARIETTA, GA 30066
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2960 SHALLOWFORD RD
MARIETTA, GA 30066

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 Ravi Kolluri's NPI number?

The NPI number for Ravi Kolluri is 1265063143. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Ravi Kolluri located?

Ravi Kolluri practices at 2960 Shallowford Rd, Marietta, GA 30066. The listed phone number is (770) 977-3640.

What is Ravi Kolluri's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Ravi Kolluri was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.