Active NPI
Sri Srinivasa Pharma Inc
- Community/Retail Pharmacy
- Jersey City, NJ
National Provider Identifier
1376608703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SRI SRINIVASA PHARMA INC
- Practice address
- 119 Ocean Ave
Jersey City, NJ 07305 - Phone
- (201) 432-6968
- Fax
- (201) 432-7004
- NPI assigned
- Dec 26, 2006
- Organization subpart
- Yes
- Parent organization
- SRI SRINIVASA PHARMA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudheer Malgireddy
- Title
- Owner
- Phone
- (347) 307-1421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00618300 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
119 Ocean Ave
Jersey City, NJ 07305
Mailing address
119 Ocean Ave
Jersey City, NJ 07305
Phone (201) 432-6968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2057958 | Other | PK | |
| 9092501 | Medicaid | NJ |
Other names 1
- HEALTH CARE PHARMACY
National Provider Directory
National Provider Directory- Part of
- Sri Srinivasa Pharma Inc
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Warren, MI
- NPI 1093937096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556150400000",
"number": "1376608703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OCEAN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "201-432-6968",
"fax_number": "201-432-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OCEAN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "201-432-6968",
"fax_number": "201-432-7004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRI SRINIVASA PHARMA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SRI SRINIVASA PHARMA INC",
"enumeration_date": "2006-12-26",
"last_updated": "2019-04-25",
"status": "A",
"authorized_official_last_name": "MALGIREDDY",
"authorized_official_first_name": "SUDHEER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-307-1421"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00618300",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2057958",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9092501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEALTH CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEALTH CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.