Active NPI
Srisiri Pharma Inc
- Community/Retail Pharmacy
- Pontiac, MI
National Provider Identifier
1295029312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301009598
- Legal business name
- SRISIRI PHARMA INC
- Practice address
- 989 University Dr Ste 107
Pontiac, MI 48342-1885 - Phone
- (248) 953-2331
- Fax
- (248) 340-0887
- NPI assigned
- Jun 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Khajendranath Atluri, RPH
- Title
- President
- Phone
- (248) 953-2331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301009598 | MI | Primary |
Addresses
Primary practice location
989 University Dr Ste 107
Pontiac, MI 48342-1885
Mailing address
989 University Dr Ste 107
Pontiac, MI 48342-1885
Phone (248) 340-0886
Other names 1
- index meds
National Provider Directory
National Provider Directory- Tax ID family
- Index Meds
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Lincoln Park, MI
- NPI 1912334343
Locations
989 University Dr
Ste 107
Pontiac, MI 48342
Phone (248) 334-4773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1295029312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 UNIVERSITY DR STE 107",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421885",
"telephone_number": "248-340-0886",
"fax_number": "248-340-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 UNIVERSITY DR STE 107",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421885",
"telephone_number": "248-953-2331",
"fax_number": "248-340-0887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRISIRI PHARMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-06",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "ATLURI",
"authorized_official_first_name": "KHAJENDRANATH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-953-2331",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301009598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "index meds",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.