Organization Active NPI

SV Drugs Corp

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1144727439
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
036490 Issued in NY
Legal business name
SV DRUGS CORP
Practice address
411 E 138TH St
Bronx, NY 10454-3004
Phone
(718) 401-7900
Fax
(718) 401-9275
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Srinivas KoduruNPI 1518252444
Title
Pharmacist
Phone
(718) 401-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 036490 NY Primary

Addresses

Primary practice location

411 E 138TH St
Bronx, NY 10454-3004

Mailing address

411 E 138TH St
Bronx, NY 10454-3004
Phone (718) 401-7900

Other identifiers 1

IdentifierTypeStateIssuer
2176400OtherPK

Other names 1

  • SOUTH BRONX PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180809000920 NY DME Supplier - Pharmacy 9739437625 Practice locations: Bronx, NY
O20240904003773 NY Part B Supplier - Pharmacy 9739437625 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South Bronx Pharmacy411 E 138TH St, Bronx, NY 10454-3004(718) 401-7900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 24, 2018

National Provider Directory

National Provider Directory

Locations

411 E 138th St
Bronx, NY 10454
Phone (718) 401-7900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1144727439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543004",
            "telephone_number": "718-401-7900",
            "fax_number": "718-401-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543004",
            "telephone_number": "718-401-7900",
            "fax_number": "718-401-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV DRUGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "KODURU",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-401-7900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BRONX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.