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Active NPI 1558653774 Individual Practitioner Male Practitioner

Praveen Elamanchili

Pharmacist • Spanaway, WA

Professional Overview & Biography Verified Profile Summary

Praveen Elamanchili is a registered healthcare professional specializing in Pharmacist in Spanaway, WA. Practice services are available at 17701 PACIFIC AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17701 Pacific Ave S

Spanaway, WA 983874609

Telephone 2538472781
Associated Practice Facility / Clinic
🏢 Sri Krishnaiah Corporation Facility NPI 1518343714

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Spanaway, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Spanaway, WA (7956 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: 2023-02-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60107536

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

1 Associated Practitioners
Felix Correa

Massage Therapist

NPI 1578331328

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 21, 2023

Registered at 17701 PACIFIC AVE S, SPANAWAY, WA 983874609 (Tel: 2538472781)

📍
Updated Business Mailing Address February 21, 2023

Registered at 17701 PACIFIC AVE S, SPANAWAY, WA 983874609 (Tel: 2538472781)

NPI Profile Active May 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2011

Registered at 909 E YELM AVE, YELM, WA 985979425 (Tel: 3604589011)

📍
Updated Business Mailing Address May 05, 2011

Registered at 909 E YELM AVE, YELM, WA 985979425 (Tel: 3604589011)

👤
Provider Name / Credentials Updated May 05, 2011

Recorded as PRAVEEN ELAMANCHILI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2011

Pharmacist (License #PH60107536 in WA)

🟢
Initial NPI Registration & Enumeration May 05, 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: 1558653774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2011
Last Update: February 21, 2023
Sole Proprietor: No

Mailing Address

17701 Pacific Ave S

Spanaway, WA 983874609

Phone: 2538472781

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.