Sai Gauri Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAI GAURI PHARMACY LLC

Doing business as

Salumed Pharmacy Brentwood

Practice address

753 Commack Rd
Brentwood, NY 11717-7407

Phone

(631) 299-0213

Fax

(631) 299-0299

NPI assigned

Oct 6, 2019

Last updated

Oct 6, 2019By 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

Rajasekhar Kantamneni

Title

Managing Member

Phone

(631) 299-0213

Specialties & licenses 1

Addresses

Other names 1

• Salumed Pharmacy Brentwood Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply 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.

• Prashanth Krishna Donepudi, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1972207645
  NPD (past)

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1225679749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-299-0213",
            "fax_number": "631-299-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-299-0213",
            "fax_number": "631-299-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI GAURI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-299-0213"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salumed Pharmacy Brentwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa P. Ruiz, R.N.
• Chris Runko, LMT
• Karla Sabillon
• Todd Saccoccia
• Maurice Saenz, DDS
• Verlanda Saint Hilaire, RN
• Stephanie Sajumon
• Susan Marie Saladino
• Claudia Patricia Salazar, PA
• Salumed Pharmacy Inc (SaluMed Pharmacy Brentwood)

• Community/Retail Pharmacy in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.