Seda Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.018464 Issued in IL

Legal business name

SEDA INC

Practice address

4801 W Lake St
Chicago, IL 60644-2609

Phone

(773) 921-5533

Fax

(773) 377-8700

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Keyur Vekaria

Title

President

Phone

(773) 921-5533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1093843351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442609",
            "telephone_number": "773-921-5533",
            "fax_number": "773-377-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442609",
            "telephone_number": "773-921-5533",
            "fax_number": "773-377-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "VEKARIA",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-921-5533"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1450662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Grace Secontine, REGISTERED DIETITIAN
• Katharine Secunda, M.D.
• Secure Dental LLC
• Secure Dental VI
• Secure Dental X PLLC
• Farshad Sedaghat-Yazdi, M.D.
• Angela Sedeno, PH.D.
• Christopher W. Seder, M.D.
• Ellen K Seder, NP
• Karen Lee Seder

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.