MR. RAVIKUMAR MAMIDELA
NPI 1396926051
Pharmacist in Bronx, NY

Active since November 21, 2007
200 E. 167 STREET, LUMIT PHARMACY, BRONX, NY 10456(718) 866-0629 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ravikumar Mamidela NPPES

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

MR. RAVIKUMAR MAMIDELA (NPI 1396926051) is an individual pharmacist in Bronx, New York, licensed in New York (048102) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1396926051
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. RAVIKUMAR MAMIDELA
Location Address200 E. 167 STREET, LUMIT PHARMACYBronx, NY 10456
Mailing AddressPo Box 272, 12 Shepard CourtDelaware Water Gap, PA 18327-0272 · (570) 476-5835
Sole ProprietorNo
Enumeration DateNovember 21, 2007
Last NPPES UpdateFebruary 27, 2017
NPI 1396926051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 048102
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.

200 E. 167 STREET, Bronx, NY 10456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396926051, enumerated as an "individual" on November 21, 2007.

The provider is located at 200 E. 167 STREET LUMIT PHARMACY BRONX, NY 10456 and the phone number is (718) 866-0629.

Pharmacist with taxonomy code 183500000X.