NPIMap

Organization Active NPI

Om Saidev LLC

  • Pharmacy
  • Gap, PA
National Provider Identifier
1336577907
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411414L Issued in PA
Legal business name
OM SAIDEV LLC
Practice address
5277 Lincoln Hwy
Gap, PA 17527-9427
Phone
(717) 442-9523
Fax
(717) 442-5246
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Umamaheswara Donepudi
Title
Member
Phone
(717) 442-9523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411414L PA Primary

Addresses

Primary practice location

5277 Lincoln Hwy
Gap, PA 17527-9427

Mailing address

5277 Lincoln Hwy
Gap, PA 17527-9427
Phone (717) 442-9523

Other identifiers 1

IdentifierTypeStateIssuer
2143675OtherPK

Other names 1

  • Longenecker Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longenecker Pharmacy2 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

5277 Lincoln Hwy
Gap, PA 17527
Phone (717) 442-9523

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1336577907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-9523",
            "fax_number": "717-442-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 LINCOLN HWY",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279427",
            "telephone_number": "717-442-9523",
            "fax_number": "717-442-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM SAIDEV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "UMAMAHESWARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-442-9523"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longenecker Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.