KISHORE PERUMANDLA
NPI 1730492703
Pharmacist in Lake Havasu City, AZ

Active since July 20, 2010
25 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403(928) 453-2808(928) 453-2619 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kishore Perumandla NPPES

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

KISHORE PERUMANDLA (NPI 1730492703) is an individual pharmacist in Lake Havasu City, Arizona, licensed in Arizona (S016413) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1730492703
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKISHORE PERUMANDLA
Location Address25 LAKE HAVASU AVE SLake Havasu City, AZ 86403-6565
Mailing Address25 Lake Havasu Ave SLake Havasu City, AZ 86403-6565 · (928) 453-2808 · Fax (928) 453-2619
Fax(928) 453-2619
Sole ProprietorNo
Enumeration DateJuly 20, 2010
NPI 1730492703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S016413
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.

25 LAKE HAVASU AVE S, Lake Havasu City, AZ 86403

Other Providers at the Same Location NPPES 9

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

Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403
Pharmacist
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730492703, enumerated as an "individual" on July 20, 2010.

The provider is located at 25 LAKE HAVASU AVE S LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 453-2808.

Pharmacist with taxonomy code 183500000X.