Sscp1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SSCP1 LLC

Practice address

1169 Eastern Parkway
Suite 1110
Louisville, KY 40217-1462

Phone

(502) 709-5532

Fax

(502) 371-6659

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Sudhakar Veeranki

Title

Owner

Phone

(502) 709-5532

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medical Arts Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1598201436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUITE 1110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-709-5532",
            "fax_number": "502-371-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PARKWAY",
            "address_2": "SUITE 1110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-709-5532",
            "fax_number": "502-371-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSCP1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "VEERANKI",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-709-5532"
    },
    "taxonomies": [
        {
            "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": "2163762",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100536810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Nicole Squires
• Karrie S Squires, PHARMD
• Erin Lee Srader, APRN
• Yasmin Ismail Sritapan, DO
• Chhavi Srivastava, MD
• Ssii Pharma LLC
• Natalie St Clair, PA-C
• Andrea Michelle St Hill, PHARM.D.
• St Matthews Fire Protection District
• St Matthews Fire Protection District Holding Company Inc

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.