Sri Sai Sanvi Integrative Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29483 Issued in FL

Legal business name

SRI SAI SANVI INTEGRATIVE PHARMACY SERVICES LLC

Practice address

1101 Blanding Blvd Ste 122
Orange Park, FL 32065-6751

Phone

(904) 644-8038

Fax

(904) 644-8671

NPI assigned

Feb 6, 2016

Organization subpart

No

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

Authorized official

Name

Nagaraju TummalaNPI 1407076664

Title

Pharmacy Manager/ Owner / Pic/Ao

Phone

(904) 207-0355

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Care 1st 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.

• Nagaraju Tummala, R.PH.

  • Pharmacist
  • Jacksonville, FL
  • NPI 1407076664
  NPD (past) Authorized official

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1174981096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 LAUREL MILL DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655271",
            "telephone_number": "904-644-8038",
            "fax_number": "904-644-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BLANDING BLVD STE 122",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656751",
            "telephone_number": "904-644-8038",
            "fax_number": "904-644-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI SAI SANVI INTEGRATIVE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "TUMMALA",
        "authorized_official_first_name": "NAGARAJU",
        "authorized_official_title_or_position": "PHARMACY MANAGER/ OWNER / PIC/AO",
        "authorized_official_telephone_number": "904-207-0355"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29483",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157981",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016742100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care 1st Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Orange Park, FL
• Providers in Orange Park, 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 Feb 16, 2017; 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.