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

Venkata Raghava Ammanabrolu

Individual provider Pharmacist · NPI 1962787895

Venkata Raghava Ammanabrolu is a Pharmacist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

13905 Old Saint Augustine Rd
Jacksonville, FL 32258-5486
Phone: (904) 268-9025
Fax: (904) 268-9460
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS36503 (FL)

Record details

NPI number1962787895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESOctober 11, 2011
Mailing address13905 Old Saint Augustine Rd, Jacksonville, FL 32258-5486

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