Suddha Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH21413 Issued in FL

Legal business name

SUDDHA PHARMACY, LLC

Practice address

255 Sunrise Ave
Palm Beach, FL 33480

Phone

(561) 833-3348

Fax

(561) 832-7783

NPI assigned

May 8, 2007

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fedco Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Fedco Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Suddha Pharmacy, LLC

  • Pharmacist
  • Palm Beach, FL
  • NPI 1093739765
  NPD tax ID
• Suddha Pharmacy, LLC

  • Long Term Care Pharmacy
  • Palm Beach, FL
  • NPI 1972841229
  NPD tax ID

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network

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"
        }
    ]
}

• Spine Care Clinics of America, LLC
• Michele Stern, LCSW
• Dwight Stevens, M.D.
• Carrie Davidoff Stucken, M.D.
• Suddha Pharmacy, LLC
• Suddha Pharmacy, LLC
• Daniel Sullivan, P.T.
• Richard David Sulman, D.O.
• Elan Tenenbaum
• The Offices of Dr Paul Melchiorre PLLC

• Community/Retail Pharmacy in Palm Beach, FL
• Providers in Palm Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• 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.

Verify at the official NPI Registry.