Individual provider · Type 1 NPI

Prakash Maddali, PHARMACIST

Pharmacist · Bronx, NY

NPI number 1780772087 Active

Practice location

2021 Grand Concourse
Bronx, NY 10453-4317

Call (718) 299-2800 Map

Fax (718) 299-5113

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X41559 (NY)
Pharmacist Primary 183500000XRI23097 (NJ)

Pharmacist: 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…

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About NPI 1780772087

Prakash Maddali, PHARMACIST's National Provider Identifier is 1780772087, issued on Oct 11, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bronx, NY. The record was last updated on Aug 15, 2025.