VENKATA RAGHAVA AMMANABROLU
NPI 1962787895
Pharmacist in Jacksonville, FL

Active since October 11, 2011
13905 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 268-9025(904) 268-9460 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Venkata Raghava Ammanabrolu NPPES

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

VENKATA RAGHAVA AMMANABROLU (NPI 1962787895) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS36503) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1962787895
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameVENKATA RAGHAVA AMMANABROLU
Location Address13905 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-5486
Mailing Address13905 Old Saint Augustine RdJacksonville, FL 32258-5486 · (904) 268-9025 · Fax (904) 268-9460
Fax(904) 268-9460
Sole ProprietorNo
Enumeration DateOctober 11, 2011
NPI 1962787895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS36503
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.

13905 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

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.

Pharmacist
13905 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Pharmacist
13905 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Pharmacy
13905 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962787895, enumerated as an "individual" on October 11, 2011.

The provider is located at 13905 OLD SAINT AUGUSTINE RD JACKSONVILLE, FL 32258 and the phone number is (904) 268-9025.

Pharmacist with taxonomy code 183500000X.