Active NPI
Saisai Inc
Doing business as Longwood Pharmacy
- Community/Retail Pharmacy
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24471
- Legal business name
- SAISAI INC
- Doing business as
- Longwood Pharmacy
- Practice address
- 252 W State Road 434
Longwood, FL 32750-5114 - Phone
- (407) 332-9753
- NPI assigned
- Feb 26, 2010
- Last updated
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ketal Kapadia
- Title
- Pharmacy Manager
- Phone
- (407) 474-3393
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH24471 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
252 W State Road 434
Longwood, FL 32750-5114
Mailing address
252 West S.R. 434
Longwood, FL 32750
Phone (407) 332-9753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002013000 | Medicaid | FL | |
| 2123994 | Other | PK |
Other names 1
- LONGWOOD PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210204001635 | FL | Part B Supplier - Pharmacy | 1658522032 |
1 other NPI on this enrollment Practice locations: Longwood, FL; Orlando, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba RX Care Pharmacy
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1972827996
O20210204001635
National Provider Directory
National Provider Directory- Tax ID family
- Longwood Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Longwood, FL
- NPI 1174032841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458777600000",
"number": "1245552512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 WEST S.R. 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-332-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505114",
"telephone_number": "407-332-9753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAISAI INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2016-03-24",
"status": "A",
"authorized_official_last_name": "KAPADIA",
"authorized_official_first_name": "KETAL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "407-474-3393"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24471",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002013000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2123994",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LONGWOOD PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.