Provider Demographics
NPI:1023689627
Name:THUMMATY, NIRUPAMA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:NIRUPAMA
Middle Name:
Last Name:THUMMATY
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:NIRUPAMA
Other - Middle Name:
Other - Last Name:THUMMATY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NIRU
Mailing Address - Street 1:8900 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-2040
Mailing Address - Country:US
Mailing Address - Phone:913-685-3299
Mailing Address - Fax:
Practice Address - Street 1:8900 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-2040
Practice Address - Country:US
Practice Address - Phone:913-685-3299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist