Maladi Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28782 Issued in FL

Legal business name

MALADI INC

Practice address

5966 Moncrief Rd, Unit 1
Jacksonville, FL 32209

Phone

(904) 379-3195

Fax

(904) 551-0972

NPI assigned

Mar 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sreedhar MaladiNPI 1356747919

Title

Manager

Phone

(904) 379-3195

Specialties & licenses 1

Addresses

Other names 1

• Edgewood Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Sreedhar Maladi, RPH

  • Pharmacist
  • Jacksonville, FL
  • NPI 1356747919
  NPD Authorized official

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1275927329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 MONCRIEF RD, UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-379-3195",
            "fax_number": "904-551-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 MONCRIEF RD, UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-379-3195",
            "fax_number": "904-551-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALADI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "MALADI",
        "authorized_official_first_name": "SREEDHAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-379-3195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmy Makic
• Stephanie Elizabeth Makimaa, DNP, APRN
• Daryl Makoff, DPM
• Ellen Lorraine Makris, CNP
• Kenneth Anthony Makris, RPH
• Sreedhar Maladi, RPH
• Malaika Health Services LLC
• Fernando Scherrer Malaman, DPT
• Marco Malaspina
• Jose Malavet, MD

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.