Sri Satya Sai Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00650400 Issued in NJ

Legal business name

SRI SATYA SAI INC

Practice address

533 Hamilton Ave
Trenton, NJ 08609-2625

Phone

(609) 393-1776

Fax

(609) 393-4426

NPI assigned

Jan 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raghunath Reddy Bhavanam, B.PHARMACY

Title

Pharmacist

Phone

(609) 393-1775

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hamilton Pharmacy Doing business as

Practitioners 1

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

• Raghunath Reddy Bhavanam, B.PHARMACY

  • Pharmacist
  • Trenton, NJ
  • NPI 1992099162
  NPD (past)

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1164575296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086092625",
            "telephone_number": "609-393-1776",
            "fax_number": "609-393-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086092625",
            "telephone_number": "609-393-1776",
            "fax_number": "609-393-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI SATYA SAI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "BHAVANAM",
        "authorized_official_first_name": "RAGHUNATH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "609-393-1775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00650400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER NUBER",
            "identifier": "0073717",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073725",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• St Francis Medical Center
• St Francis Medical Center
• St Francis Medical Center
• St Francis Medical Center

• All providers in Trenton, NJ
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.