Srinivasa Rao Edavalapati, M.PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

050398 Issued in NY

Practice address

4329 Broadway
Broadway Pharmacy
New York, NY 10033-2408

Phone

(212) 740-8500

Fax

(212) 740-9400

NPI assigned

Mar 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sr Pharmacy Inc

  dba Broadway Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1922049352
  NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1356665731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 BROADWAY",
            "address_2": "BROADWAY PHARMACY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332408",
            "telephone_number": "212-740-8500",
            "fax_number": "212-740-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 BROADWAY",
            "address_2": "BROADWAY PHARMACY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332408",
            "telephone_number": "212-740-8500",
            "fax_number": "212-740-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDAVALAPATI",
        "first_name": "SRINIVASA",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "credential": "M.PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050398",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02773400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Edalat, D.D.S.
• Saimol Saji Edaparampil, PHARMD
• Sireesha Edara, M.A. CCC-SLP
• Srinivasa Edara, MD
• David Edasery, MD
• Rajeswari Edayathumangalam
• Gary Erwin Eddey, M.D.
• Eddie Pabon, LCSW, PLLC
• Dawud Eddings
• Keith Eddleman, M.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.