Organization Active NPI

Om Saibaba Inc

Doing business as Regional Pharmacy

  • Community/Retail Pharmacy
  • Lancaster, PA
National Provider Identifier
1538556212
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482553 Issued in PA
Legal business name
OM SAIBABA INC
Doing business as
Regional Pharmacy
Practice address
250 College Ave
First Floor
Lancaster, PA 17603-3363
Phone
(717) 517-8109
Fax
(717) 517-8571
NPI assigned
Apr 21, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Umamaheswara DonepudiNPI 1528202785
Title
President
Phone
(717) 517-8109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482553 PA Primary

Addresses

Primary practice location

250 College Ave
First Floor
Lancaster, PA 17603-3363

Mailing address

250 College Ave
First Floor
Lancaster, PA 17603-3363
Phone (717) 517-8109

Other identifiers 2

IdentifierTypeStateIssuer
103011557-0001MedicaidPA
2151590OtherPK

Other names 1

  • Regional Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

250 College Ave
Fl First
Lancaster, PA 17603
Phone (717) 517-8109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1538556212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "address_2": "FIRST FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033363",
            "telephone_number": "717-517-8109",
            "fax_number": "717-517-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "address_2": "FIRST FLOOR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033363",
            "telephone_number": "717-517-8109",
            "fax_number": "717-517-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM SAIBABA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "UMAMAHESWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-517-8109"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103011557-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.