Sai Durga Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035112 Issued in NY

Legal business name

SAI DURGA PHARMACY LLC

Practice address

23 Spencer PL
Scarsdale, NY 10583-4110

Phone

(914) 723-2808

Fax

(914) 723-2781

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Raj Kantamneni

Title

Member

Phone

(914) 723-2808

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Scarsdale Spencer Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Andrew Damin, R.PH.

  • Pharmacist
  • Scarsdale, NY
  • NPI 1770805798
  NPD (past)
• David John Ferreira, RPH

  • Pharmacist
  • Scarsdale, NY
  • NPI 1255653341
  NPD (past)
• 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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1235680455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834110",
            "telephone_number": "914-723-2808",
            "fax_number": "914-723-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SPENCER PL",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834110",
            "telephone_number": "914-723-2808",
            "fax_number": "914-723-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI DURGA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-723-2808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035112",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04743000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scarsdale Spencer Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Davida Lynn Rutrick Goldstein, LCSW
• Lauren Marie Ryan
• Sara Rebecca Ryba, RD CDN
• Stephen Sabba, M.D.
• Colette Sabot, M.S.
• Shivani Marguerite Saith, DMD, MS
• Yusuf Salim, MD
• Sally C Jordan, MD
• Marcia J Salter, L.AC.
• Deborah S Saltzberg, M.D.

• Community/Retail Pharmacy in Scarsdale, NY
• Providers in Scarsdale, 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 Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.