Raghavendra Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24727 Issued in FL

Legal business name

RAGHAVENDRA PHARMACY INC

Doing business as

lakeside discount pharmacy

Practice address

5431 N State Road 7
Tamarac, FL 33319-2921

Phone

(954) 485-4903

Fax

(954) 485-4948

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nagesh Shakhamoori

Title

Vice President

Phone

(248) 631-6612

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• lakeside discount pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacques H Adelson, PH

  • Pharmacist
  • Tamarac, FL
  • NPI 1891136529
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1164734927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192921",
            "telephone_number": "954-485-4903",
            "fax_number": "954-485-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 N STATE ROAD 7",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192921",
            "telephone_number": "954-485-4903",
            "fax_number": "954-485-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAVENDRA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAKHAMOORI",
        "authorized_official_first_name": "NAGESH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-631-6612"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5700605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lakeside discount pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melina Andrea Quintar-Moore
• R&G Transportation,LLC
• R&R Domestic Services, Inc.
• Arkan Radeef
• Radiology Associates PA of Fort Lauderdale
• Samantha Rainford, RN, BSN
• Michael S. Ramer, D.D.S.
• Soett Ramirez-Estrada, MD
• Maria Ramirez
• Nicolas Alexander Ramirez

• Community/Retail Pharmacy in Tamarac, FL
• Providers in Tamarac, 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 Jul 9, 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.