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

Mr. Siva Kumar Kamineni, PHARMACIST

Individual provider Pharmacist · NPI 1790096337

Mr. Siva Kumar Kamineni, PHARMACIST is a Pharmacist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
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Practice location Address checks out

4502 E Oak St
Phoenix, AZ 85008-2411
Phone: (602) 808-0111
Fax: (602) 808-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S012644 (AZ)

Record details

NPI number1790096337
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 29, 2010

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