Prasanna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRASANNA LLC

Doing business as

Alamo Specialty Pharmacy

Practice address

104 Gallery Circle, Ste 104
San Antonio, TX 78258

Phone

(210) 868-6140

Fax

(210) 868-6090

NPI assigned

Jun 10, 2020

Last updated

Apr 1, 2022By 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

Manohar Miryala

Title

Officer

Phone

(409) 225-2098

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alamo Specialty Pharmacy Doing business as

Tax ID family

Alamo Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KVM Pharmacy Solutions LLC

  dba Goliad Pharmacy and Gifts

  • Community/Retail Pharmacy
  • Goliad, TX
  • NPI 1770659435
  NPD tax ID

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1285259838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIRCLE, STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-868-6140",
            "fax_number": "210-868-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIRCLE, STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-868-6140",
            "fax_number": "210-868-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "MIRYALA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "409-225-2098"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anand Prasad, MD
• Ananth K Prasad, MD
• Dennis S Prasad
• Marykutty Prasad, RN,FNP
• Veena Prasad, PHD
• Prasanna LLC (Medical Center Pharmacy)
• Latha Prasannan, MD
• Priscilla Rose Prasath, PH.D., LPC., GCSC
• Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST
• Ivy Rashon Prater

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.