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

Mr. Prem Kumar Medepalli

Individual provider Pharmacist · NPI 1518656677

Mr. Prem Kumar Medepalli is a Pharmacist in Omak, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
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Practice location Partly verified

Some contact details are missing from the federal record.

Omak Pharmacy 903 Engh Rd Ste # A
Omak, WA 98841
Phone: (509) 422-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH61230173 (WA)

Record details

NPI number1518656677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023
Mailing address903 Engh Rd Ste # A, Omak Pharmacy, Omak, WA 98841

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