Active NPI
Suddha Pharmacy, LLC
Doing business as Fedco Drugs
- Community/Retail Pharmacy
- Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21413
- Legal business name
- SUDDHA PHARMACY, LLC
- Doing business as
- Fedco Drugs
- Practice address
- 255 Sunrise Ave
Palm Beach, FL 33480 - Phone
- (561) 833-3348
- Fax
- (561) 832-7783
- NPI assigned
- May 8, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Dipti Patel
- Title
- Owner
- Phone
- (561) 833-3348
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH21413 | FL | Primary |
Addresses
Primary practice location
255 Sunrise Ave
Palm Beach, FL 33480
Mailing address
255 Sunrise Ave
Palm Beach, FL 33480
Other names 1
- Fedco Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221028002230 | FL | Part B Supplier - Pharmacy | 1052788353 | Practice locations: Palm Beach, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Fedco Drugs
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
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.
-
- Pharmacist
- Palm Beach, FL
- NPI 1821856550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609089150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SUNRISE AVE",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "33480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SUNRISE AVE",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "33480",
"telephone_number": "561-833-3348",
"fax_number": "561-832-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUDDHA PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DIPTI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-833-3348",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fedco Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.