Organization Active NPI

Srisiri Pharma Inc

  • Community/Retail Pharmacy
  • Pontiac, MI
National Provider Identifier
1295029312
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009598 Issued in MI
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

Updated by the provider on Oct 8, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Index Meds2 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.

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.

Verify at the official NPI Registry.