Shri Jagannath Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29227 Issued in TX

Legal business name

SHRI JAGANNATH DRUGS LLC

Practice address

820 N Zang Blvd
Ste 120
Dallas, TX 75208-4233

Phone

(214) 946-1700

Fax

(214) 946-8300

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Venkatakiran Kali

Title

Director

Phone

(214) 946-1700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ravens Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1174538771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ZANG BLVD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084233",
            "telephone_number": "214-946-1700",
            "fax_number": "214-946-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ZANG BLVD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084233",
            "telephone_number": "214-946-1700",
            "fax_number": "214-946-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI JAGANNATH DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "VENKATAKIRAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-946-1700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravens Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajani Lata Shrestha, DO
• Sarala Shrestha, MSN, APRN, AGACNP-BC
• Shreeju Shrestha, NP
• Soni Shrestha, CRNA
• Timothy Shreve, LCSW
• Souad G Shrime, M.S., LPC
• Sondra Elaine Shriner, L.P.C.
• Aishni Shrivastava
• Samarth Shrivastava, MD
• Shrive Headache and Pain Consultants

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.