Organization Active NPI

Siri Pharmacy Inc

  • Community/Retail Pharmacy
  • Hackensack, NJ
National Provider Identifier
1679883276
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00708100 Issued in NJ
Legal business name
SIRI PHARMACY INC
Practice address
355 Essex St
Hackensack, NJ 07601-1267
Phone
(201) 880-5656
Fax
(201) 880-5655
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Satyavani Ravuri
Title
President
Phone
(201) 880-5656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00708100 NJ Primary

Addresses

Primary practice location

355 Essex St
Hackensack, NJ 07601-1267

Mailing address

355 Essex St
Hackensack, NJ 07601-1267
Phone (201) 880-5656

Other identifiers 1

IdentifierTypeStateIssuer
3197402OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • university pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

355 Essex St
Hackensack, NJ 07601
Phone (201) 880-5656

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1679883276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011267",
            "telephone_number": "201-880-5656",
            "fax_number": "201-880-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011267",
            "telephone_number": "201-880-5656",
            "fax_number": "201-880-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "RAVURI",
        "authorized_official_first_name": "SATYAVANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-5656"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00708100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3197402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "university pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.