Loisaida RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025186 Issued in NY

Legal business name

LOISAIDA RX INC

Practice address

273 E 3Rd St
New York, NY 10009-7800

Phone

(212) 254-7307

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jagadeesh Gummella, R.PHNPI 1396863221

Title

Supervising Pharmacist

Phone

(212) 254-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Loisaida Drugs Surgical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Loisaida RX Inc

  • Long Term Care Pharmacy
  • New York, NY
  • NPI 1366281453
  NPD tax ID

Practitioners 2

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

• Jagadeesh Gummella, R.PH

  • Pharmacist
  • New York, NY
  • NPI 1396863221
  NPD Authorized official
• David Lee

  • Pharmacist
  • New York, NY
  • NPI 1174172415
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1659431310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 E 3RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097800",
            "telephone_number": "212-254-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E 3RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097800",
            "telephone_number": "212-254-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOISAIDA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "GUMMELLA",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-254-7307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene S Loi, DPM
• Tiffany Loi
• Lois L Lynn Nutritionist PLLC
• Lois Nachamie
• Loisaida RX Inc
• Yolette M Loiseau, MSW
• Suzanne M Loiselle, MD
• George Loizides
• Jason S Loizides, M.D.
• Maria S Loizos, PH.D.

• Community/Retail Pharmacy in New York, NY
• Providers in New York, 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 May 10, 2013; 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.