Active NPI
Sirisha Mallidi, RPH
- Pharmacist
- Monroe, NY
National Provider Identifier
1053588996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 000186
- Practice address
- 288 Larkin Dr
Monroe, NY 10950-4911 - Phone
- (845) 783-8116
- Fax
- (845) 783-1288
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 000186 | NY | Primary |
Addresses
Primary practice location
288 Larkin Dr
Monroe, NY 10950-4911
Mailing address
11 State Route 37
New Fairfield, CT 06812-4028
Phone (203) 312-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000186 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candlewood Drugs | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- New Fairfield, CT
- NPI 1780900233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1053588996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 STATE ROUTE 37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124028",
"telephone_number": "203-312-9999",
"fax_number": "203-746-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 LARKIN DR",
"city": "MONROE",
"state": "NY",
"postal_code": "109504911",
"telephone_number": "845-783-8116",
"fax_number": "845-783-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLIDI",
"first_name": "SIRISHA",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "000186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.