SRK Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY0001611 Issued in CT

Legal business name

SRK PHARMACY LLC

Practice address

42 Reynolds St
Danielson, CT 06239-2917

Phone

(860) 774-3214

Fax

(860) 774-2426

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Sandhya Kantamaneni

Title

Member

Phone

(860) 774-3214

Specialties & licenses 1

Addresses

Other names 1

• Daniels Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1326344169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 REYNOLDS ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392917",
            "telephone_number": "860-774-3214",
            "fax_number": "860-774-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 REYNOLDS ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392917",
            "telephone_number": "860-774-3214",
            "fax_number": "860-774-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "KANTAMANENI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-774-3214"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY0001611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Danielson, CT
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.