Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manjunath Medahalli Krishnappa

Individual provider Pharmacist · NPI 1063122489

Manjunath Medahalli Krishnappa is a Pharmacist in North East, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

75 N East Plz
North East, MD 21901-3617
Phone: (410) 287-3479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18634 (MD)

Record details

NPI number1063122489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2022
Last updated in NPPESNovember 28, 2022
Certification dateNovember 26, 2022
Mailing address2405 Eastridge Rd, Lutherville, MD 21093-2509

Other providers in North East