Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952693558 Individual Practitioner Female Practitioner

Surekha Kotha

Pharmacist • Saint Johns, FL

Professional Overview & Biography Verified Profile Summary

Surekha Kotha is a registered healthcare professional specializing in Pharmacist in Saint Johns, FL. Practice services are available at 2680 RACE TRACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2680 Race Track Rd

Saint Johns, FL 322596278

Telephone 9042306718
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1083718969

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Saint Johns, FL

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

Practicing in Saint Johns, 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

CMS Verified: 2023-03-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License PA RP444286

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License FL PS57398

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

5 Associated Practitioners
NPI 1124622329

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Jasmine Han

Pharmacist

NPI 1184344947
NPI 1255936175
Daniel Henry

Pharmacist

NPI 1427646140
NPI 1891525713

Registered Pharmacist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 15, 2023

Registered at 2680 RACE TRACK RD, SAINT JOHNS, FL 322596278 (Tel: 9042306718)

📍
Updated Business Mailing Address March 15, 2023

Registered at 275 ARELLA WAY, SAINT JOHNS, FL 322591252 (Tel: 0480678149)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Pharmacist (License #PS57398 in FL)

NPI Profile Active May 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2011

Registered at 3615 E MARKET ST, YORK, PA 174022630 (Tel: 7178400204)

📍
Updated Business Mailing Address May 14, 2011

Registered at 400 MARION RD, YORK, PA 174061561 (Tel: 7175057979)

👤
Provider Name / Credentials Updated May 14, 2011

Recorded as SUREKHA KOTHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2011

Pharmacist (License #RP444286 in PA)

🟢
Initial NPI Registration & Enumeration May 14, 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: 1952693558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2011
Last Update: March 15, 2023
Sole Proprietor: No

Mailing Address

275 Arella Way

Saint Johns, FL 322591252

Phone: 0480678149

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.