Sarju Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27254 Issued in FL

Legal business name

SARJU GROUP LLC

Doing business as

Community Pharmacy of Ormond Beach

Practice address

305 Clyde Morris Blvd Ste 200
Ormond Beach, FL 32174-8182

Phone

(386) 917-1881

Fax

(386) 310-3870

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Arvind Mendpara

Title

Pharmacist

Phone

(386) 917-1881

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Community Pharmacy of Ormond Beach Doing business as

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1073943197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "SUITE # 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748181",
            "telephone_number": "386-917-1881",
            "fax_number": "386-310-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD STE 200",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748182",
            "telephone_number": "386-917-1881",
            "fax_number": "386-310-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARJU GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MENDPARA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "386-917-1881"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27254",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy of Ormond Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn V Santiago Gonzalez, CRNA
• Shannon Michelle Santiago, PTA
• Massiel Alexandra Santos Diaz, ARNP
• Sara Kohen Dean DMD PLLC
• Casy J Sargent, PTA
• Madison Saunders, MD
• Madison Savage
• Rosemary Ann Savage, D.O.
• Savitha Kasturi, DO PA
• Hanna Schagen

• Community/Retail Pharmacy in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.