Provider Demographics
NPI:1790387173
Name:KUMAR, REEMA NADKARNI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REEMA
Middle Name:NADKARNI
Last Name:KUMAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W BAR LE DOC DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6250
Mailing Address - Country:US
Mailing Address - Phone:361-834-1692
Mailing Address - Fax:
Practice Address - Street 1:3829 INTERSTATE HIGHWAY 69 ACCESS RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4525
Practice Address - Country:US
Practice Address - Phone:361-387-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist