Organization Active NPI

Sri Srinivasa Pharma Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1376608703
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Sudheer MalgireddyNPI 1093937096
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2057958OtherPK
9092501MedicaidNJ

Other names 1

  • HEALTH CARE PHARMACY Doing business as

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.

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.

Verify at the official NPI Registry.