Samy'S Drug Store Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAMY'S DRUG STORE INC.

Practice address

10333 US-12 SW
Rochester, WA 98579

Phone

(360) 355-9276

NPI assigned

Aug 31, 2021

Organization subpart

Yes

Parent organization

SAMY'S DRUG STORE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunil DullaNPI 1891090999

Title

President

Phone

(360) 878-8174

Specialties & licenses 2

Addresses

Other names 1

• Rochester Pharmacy Doing business as

Part of

Samy'S Drug Store

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Samy'S Drug Store Inc.

  • Community/Retail Pharmacy
  • Olympia, WA
  • NPI 1396187613
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunil Dulla

  • Pharmacist
  • Tacoma, WA
  • NPI 1891090999
  NPD Authorized official
• Sai Charan Krovi, PHARM.D

  • Pharmacist
  • Olympia, WA
  • NPI 1023883824
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1003584509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE H",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-878-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 US-12 SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "98579",
            "telephone_number": "360-355-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMY'S DRUG STORE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMY'S DRUG STORE INC",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "DULLA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-878-8174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rochester Chiropractic Center
• Rochester Drug
• Rochester School District
• Rochester Wellness Clinic
• Jessica Diane McKeown Ryan, ARNP
• Janell Schade
• Heather E Schilling
• Thea Schnase
• Crystal Schuon, MA CCC-SLP
• Jennifer M Smith, RN

• Community/Retail Pharmacy in Rochester, WA
• Providers in Rochester, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.