IndividualActive
Srinivasa Rao Komirisetty
NPI 1164700605 · Pharmacist · Jacksonville, FL
Srinivasa Rao Komirisetty is a Pharmacist provider in Jacksonville, FL (NPI 1164700605).
Provider details
- NPI number
- 1164700605
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 055526-1 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10010 Belle Rive Blvd Apt 510
Jacksonville, FL 32256-9519
Phone: (409) 782-2402
Street-level locationGet directions
Mailing address
10010 Belle Rive Blvd Apt 510
Jacksonville, FL 32256-9519
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2011-08-02
Frequently asked questions
- What is Srinivasa Rao Komirisetty's NPI number?
- Srinivasa Rao Komirisetty's National Provider Identifier (NPI) is 1164700605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Srinivasa Rao Komirisetty's specialty?
- Srinivasa Rao Komirisetty is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Srinivasa Rao Komirisetty located?
- Srinivasa Rao Komirisetty's practice location on file with NPPES is 10010 Belle Rive Blvd Apt 510, Jacksonville, FL 32256-9519.
- What is Srinivasa Rao Komirisetty's phone number?
- The practice phone number listed in the NPPES registry for Srinivasa Rao Komirisetty is (409) 782-2402.
- Is Srinivasa Rao Komirisetty's NPI active?
- Yes — Srinivasa Rao Komirisetty's NPI (1164700605) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.