Sri Drug Center Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SRI DRUG CENTER PHARMACY LLC

Doing business as

Drug Center Pharmacy

Practice address

912 Airline Blvd
Portsmouth, VA 23707-3309

Phone

(757) 399-6361

Fax

(757) 399-1897

NPI assigned

Sep 20, 2006

Last updated

Feb 3, 2023By 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

Sridhar Gottipati, B.S IN PHARMACYNPI 1720460017

Title

Officer

Phone

(919) 986-2547

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• DRUG CENTER PHARMACY Doing business as
• Drug Center Pharmacy #3 Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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.

• Sridhar Gottipati, RPH.

  • Pharmacist
  • Fayetteville, NC
  • NPI 1720460017
  NPD Authorized official
• Blake Bray, PHARMD

  • Pharmacist
  • Portsmouth, VA
  • NPI 1750167532
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1275630105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073309",
            "telephone_number": "757-399-6361",
            "fax_number": "757-399-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073309",
            "telephone_number": "757-399-6361",
            "fax_number": "757-399-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI DRUG CENTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "GOTTIPATI",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "919-986-2547",
        "authorized_official_credential": "B.S IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201001994",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4808246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505225",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008506591",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRUG CENTER PHARMACY #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drug Center Pharmacy #3",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tonya Spralling
• Larita Spratley
• Sharon M Springfield, PT
• Demetric M Springs
• Phyllis Spruill
• Marisa Leigh St Clair, DNP, CRNA
• St Marys Home Care Services of Virginia, LLC
• Robert C Stabley, M.D.
• Lisa Ann Staggs, RN
• Michael Staikos, DDS

• Community/Retail Pharmacy in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.