Sai RX Mart LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035081 Issued in NY

Legal business name

SAI RX MART LLC

Practice address

173 Broad St
Staten Island, NY 10304-2057

Phone

(718) 447-4127

Fax

(718) 273-1232

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Trivikram Kanumuri, RPH

Title

Pic, Ao

Phone

(718) 447-4127

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MILLERS PHARMACY Other name

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bobs Pharmacy LLC

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1497237622

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan Simon Asedo, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1700118486
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1609327113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-447-4127",
            "fax_number": "718-273-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042057",
            "telephone_number": "718-447-4127",
            "fax_number": "718-273-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI RX MART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "KANUMURI",
        "authorized_official_first_name": "TRIVIKRAM",
        "authorized_official_title_or_position": "PIC, AO",
        "authorized_official_telephone_number": "718-447-4127",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167918",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04680228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLERS PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arthur Joseph Sagevick Jr., LMSW
• Christina Saglam, CCC-SLP
• Anjan Saha
• Shashi Sahdev, MD
• Varsha Pratima Sahoo, DO
• Gina Saia, MSED
• Mernan Said
• Rana Said
• Bahora Saidova
• Ishtjot Saini, D.D.S.

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.