Organization Active NPI

Nitya Pharmacy LLC

  • Pharmacy
  • Brentwood, NY
National Provider Identifier
1245603349
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NITYA PHARMACY LLC
Practice address
753 Commack Rd
Brentwood, NY 11717-7407
Phone
(631) 299-0213
Fax
(631) 299-0228
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Mr. Rajeswara Donepudi
Title
President
Phone
(631) 299-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

753 Commack Rd
Brentwood, NY 11717-7407

Mailing address

753 Commack Rd
Brentwood, NY 11717-7407
Phone (631) 299-0213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1245603349",
    "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": "631-299-0228"
        },
        {
            "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": "631-299-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITYA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "RAJESWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-299-0213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.