Organization Active NPI

Shri Santram Corporation

  • Community/Retail Pharmacy
  • Levittown, PA
National Provider Identifier
1225286404
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481882 Issued in PA
Legal business name
SHRI SANTRAM CORPORATION
Practice address
4005 Veterans Hwy
Levittown, PA 19056-3406
Phone
(215) 943-2221
Fax
(215) 943-2202
NPI assigned
Aug 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Kaushal Patel
Title
President
Phone
(917) 667-6989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481882 PA Primary

Addresses

Primary practice location

4005 Veterans Hwy
Levittown, PA 19056-3406

Mailing address

PO Box 429
Levittown, PA 19058-0429
Phone (215) 943-2221

Other identifiers 2

IdentifierTypeStateIssuer
2118232OtherPK
1022443580001MedicaidPA

Other names 1

  • Family 1 Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4005 Veterans Hwy
#1
Levittown, PA 19056
Phone (215) 943-2221

NPI Registry JSON

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

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1225286404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190580429",
            "telephone_number": "215-943-2221",
            "fax_number": "215-943-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 VETERANS HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563406",
            "telephone_number": "215-943-2221",
            "fax_number": "215-943-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI SANTRAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-31",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-667-6989"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022443580001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family 1 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.