Sai RX Mart, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SAI RX MART, LLC

Practice address

113 W 3Rd St
Beardstown, IL 62618-1142

Phone

(217) 323-4422

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Siva Srikanth Jonnalgada

Title

Manager

Phone

(732) 494-0458

Specialties & licenses 1

Addresses

Other names 1

• pamidaa RX Doing business as

Locations

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1285987347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W 3RD ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181142",
            "telephone_number": "217-323-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 3RD ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181142",
            "telephone_number": "217-323-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI RX MART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "JONNALGADA",
        "authorized_official_first_name": "SIVA SRIKANTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-494-0458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pamidaa RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Billie Jo Quincy
• Daisy Reyes Renteria, RSA
• Sarah Roegge, FNP
• Susan Rolf, MA QMHP
• Jenna Marie Rossi, BS, MHP
• Ashley Sanders, MHP
• Kimberly Sandoval, RSA
• Keith David Schroeder
• Schuyler County Hospital District
• Schuyler County Hospital District

• Pharmacy in Beardstown, IL
• Providers in Beardstown, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.