Prasanna LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2619 Issued in TX

Legal business name

PRASANNA LLC

Doing business as

Medical Center Pharmacy

Practice address

1342 Fair Ave
San Antonio, TX 78223

Phone

(210) 534-5457

Fax

(210) 532-4747

NPI assigned

Nov 17, 2006

Last updated

Dec 18, 2019By 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

Pravalika Kali

Title

Owner

Phone

(210) 534-5457

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Econ-O-Dose Systems LLC2 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.

• Prasanna LLC

  dba Trinity Specialty Pharmacy # 2

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1073123576
  NPD tax ID

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1295809721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-534-5457",
            "fax_number": "210-532-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 FAIR AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-534-5457",
            "fax_number": "210-532-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "PRAVALIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-534-5457"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "2619",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013563401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091506801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.