Sun Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

028299 Issued in NY

Legal business name

SUN PHARMA INC

Practice address

1790 Randall Ave
Bronx, NY 10473-3629

Phone

(718) 893-2400

Fax

(718) 893-3281

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Poornachandra Rao Malepati, RPH

Title

Pharmacy Manager / Pharmacist

Phone

(718) 893-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DE FRANCO PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

De Franco 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.

• Sun Pharma Inc.

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1518096403
  NPD tax ID

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1285620765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 RANDALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733629",
            "telephone_number": "718-893-2400",
            "fax_number": "718-893-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 RANDALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733629",
            "telephone_number": "718-893-2400",
            "fax_number": "718-893-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MALEPATI",
        "authorized_official_first_name": "POORNACHANDRA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PHARMACY MANAGER / PHARMACIST",
        "authorized_official_telephone_number": "718-893-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02834673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE FRANCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DE FRANCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saleh Ahmed Sumon, M.D
• Kai Sumpter
• Nicole Sumpter
• Vivica Sumrajit, RN
• Ronald Herman Sumter, MD
• Sun Pharma Inc.
• Sun River Health Inc
• Sun River Health Inc
• Sun River Health Inc
• Sun River Health Inc

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.