SRIKANTH MUDUMBA
NPI 1962043174
Pharmacist in Clearlake, CA

Active since September 30, 2019
15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 994-3141 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Srikanth Mudumba NPPES

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

SRIKANTH MUDUMBA (NPI 1962043174) is an individual pharmacist in Clearlake, California, licensed in California (64289) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1962043174
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSRIKANTH MUDUMBA
Location Address15230 LAKESHORE DRClearlake, CA 95422-8107
Mailing Address15230 Lakeshore DrClearlake, CA 95422-8107 · (707) 994-3141
Sole ProprietorNo
Enumeration DateSeptember 30, 2019
NPI 1962043174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 64289
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.
15230 LAKESHORE DR, Clearlake, CA 95422

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pharmacy (Long Term Care Pharmacy)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422

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 Srikanth Mudumba's NPI number?

The NPI number for Srikanth Mudumba is 1962043174. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Srikanth Mudumba located?

Srikanth Mudumba practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 994-3141.

What is Srikanth Mudumba'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 Srikanth Mudumba was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.