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

Individual provider Pharmacist · NPI 1780772087

Mr. Prakash Maddali, PHARMACIST is a Pharmacist in Bronx, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2021 Grand Concourse
Bronx, NY 10453-4317
Phone: (718) 299-2800
Fax: (718) 299-5113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RI23097 (NJ)
Pharmacist Taxonomy 183500000X · Licence 41559 (NY)

Record details

NPI number1780772087
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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