Active NPI
SRK Pharmacy Inc
- Pharmacy
- Bronx, NY
National Provider Identifier
1487907697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 031753
- Legal business name
- SRK PHARMACY INC
- Practice address
- 1227 Ogden Ave
Bronx, NY 10452-3500 - Phone
- (718) 293-8777
- Fax
- (718) 992-1211
- NPI assigned
- Oct 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srinivasa R Kolli
- Title
- President
- Phone
- (718) 293-8777
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 031753 | NY | Primary |
Addresses
Primary practice location
1227 Ogden Ave
Bronx, NY 10452-3500
Mailing address
1227 Ogden Ave
Bronx, NY 10452-3500
Phone (718) 293-8777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03530792 | Medicaid | NY | |
| 2139414 | Other | PK |
Other names 1
- v&k pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130506000158 | NY | DME Supplier - Pharmacy | 8426295742 | Practice locations: Bronx, NY |
| O20221011002737 | NY | Part B Supplier - Pharmacy | 8426295742 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bronx, NY
- NPI 1851385777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546560000000",
"number": "1487907697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 OGDEN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104523500",
"telephone_number": "718-293-8777",
"fax_number": "718-992-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 OGDEN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104523500",
"telephone_number": "718-293-8777",
"fax_number": "718-992-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-25",
"last_updated": "2019-01-04",
"status": "A",
"authorized_official_last_name": "KOLLI",
"authorized_official_first_name": "SRINIVASA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-293-8777"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "031753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03530792",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139414",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "v&k pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "v&k pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.