Organization Active NPI

Sai Pharma LLC

  • Community/Retail Pharmacy
  • Fallston, MD
National Provider Identifier
1639101249
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06245 Issued in MD
Legal business name
SAI PHARMA LLC
Practice address
2112 Bel Air Rd
Ste 11
Fallston, MD 21047-2786
Phone
(410) 879-9000
Fax
(410) 879-9047
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Naveen KunaparajuNPI 1477560183
Title
Owner
Phone
(410) 879-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06245 MD Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2112 Bel Air Rd
Ste 11
Fallston, MD 21047-2786

Mailing address

2112 Bel Air Rd
Ste 11
Fallston, MD 21047-2786
Phone (410) 879-9000

Other identifiers 3

IdentifierTypeStateIssuer
2143591OtherPK
523508100MedicaidMD
2101513OtherNCPDP

Other names 1

  • Fallston Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140618001698 MD DME Supplier - Pharmacy 2365666187 Practice locations: Fallston, MD
O20141121000651 MD Part B Supplier - Mass Immunization (Roster Biller Only) 2365666187 Practice locations: Fallston, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Sai Pharma LLC2112 Bel Air Rd, Fallston, MD 21047-2786(410) 879-9000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 13, 2014

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

2112 Bel Air Rd
Ste 11
Fallston, MD 21047
Phone (410) 879-9000

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1639101249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BEL AIR RD",
            "address_2": "STE 11",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472786",
            "telephone_number": "410-879-9000",
            "fax_number": "410-879-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BEL AIR RD",
            "address_2": "STE 11",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472786",
            "telephone_number": "410-879-9000",
            "fax_number": "410-879-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KUNAPARAJU",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-879-9000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06245",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143591",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523508100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2101513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fallston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallston, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.