Organization Active NPI

Jayasudha Inc

  • Pharmacy
  • New York, NY
National Provider Identifier
1245219690
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
019519 Issued in NY
Legal business name
JAYASUDHA INC
Practice address
767 9TH Ave
New York, NY 10019-6332
Phone
(212) 265-8110
NPI assigned
Jan 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Sudhakar Rayapudi, R.PH.
Title
President
Phone
(212) 265-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 019519 NY Primary

Addresses

Primary practice location

767 9TH Ave
New York, NY 10019-6332

Mailing address

767 9TH Ave
New York, NY 10019-6332

Other identifiers 1

IdentifierTypeStateIssuer
01028431MedicaidNY

Other names 1

  • Carewell Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1245219690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196332",
            "telephone_number": "212-265-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYASUDHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "RAYAPUDI",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-265-8110",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "019519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01028431",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carewell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.