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Active NPI 1699056358 Individual Practitioner Male Practitioner

Ravi Kiran Bodavula , RPH

Pharmacist • Fleming Island, FL

Professional Overview & Biography Verified Profile Summary

Ravi Bodavula, RPH is a registered healthcare professional specializing in Pharmacist in Fleming Island, FL. Practice services are available at 6945 HIGHWAY 17 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6945 Highway 17

Fleming Island, FL 320039316

Telephone 9048648000

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Fleming Island, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS40423

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1639513898

Doctor of Pharmacy (Pharm.D.)

NPI 1790067171

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2011

Registered at 6945 HIGHWAY 17, FLEMING ISLAND, FL 320039316 (Tel: 9048648000)

📍
Updated Business Mailing Address October 10, 2011

Registered at 5940 SHADEHILL RD, JACKSONVILLE, FL 322585192 (Tel: 9048648000)

👤
Provider Name / Credentials Updated October 10, 2011

Recorded as RAVI BODAVULA, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2011

Pharmacist (License #PS40423 in FL)

🟢
Initial NPI Registration & Enumeration September 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699056358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2011
Last Update: October 10, 2011
Sole Proprietor: No

Mailing Address

5940 Shadehill Rd

Jacksonville, FL 322585192

Phone: 9048648000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.