Prasanna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRASANNA LLC

Doing business as

Trinity Specialty Pharmacy # 2

Practice address

19002 Park Row Ste 101
Houston, TX 77084

Phone

(281) 806-7680

Fax

(281) 806-7681

NPI assigned

Aug 9, 2020

Organization subpart

No

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

Authorized official

Name

Manohar Miryala, RPH

Title

Officer

Phone

(281) 806-7680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Specialty Pharmacy # 2 Doing business as

Electronic endpoints 1

Tax ID family

Econ-O-Dose Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prasanna LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1295809721
  NPD tax ID

Locations

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1073123576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231438",
            "telephone_number": "210-534-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19002 PARK ROW STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "281-806-7680",
            "fax_number": "281-806-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MIRYALA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-806-7680",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150288",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pharmacy.texas.gov/dbsearch/phy_zoom.asp?id=33328",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacy",
            "address_1": "200 E Boothe St Ste 103",
            "city": "Cleveland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773274063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Specialty Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Specialty Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roopa Prasad
• Roshni Prasad
• Srinivasa Prasad, M.D.
• Urvashi Prasad, MD
• Samyam Prasain
• Krishna Prasanna
• Mark L Prasarn, MD
• Tissana Prasartseree
• Joanne B Prashad, MD
• Sandhya Jyoti Prashad, MD

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.