Kayshuv Enterprises, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAYSHUV ENTERPRISES, LLC

Doing business as

West Pasco Pharmacy

Practice address

7505 Sandifur Pkwy
Suite 102
Pasco, WA 99301

Phone

(509) 567-7160

Fax

(509) 567-7178

NPI assigned

Jun 27, 2020

Last updated

Jan 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manogna Choudary Pamidi, RPHNPI 1467933655

Title

Manager

Phone

(509) 567-7160

Specialties & licenses 1

Addresses

Other names 1

• West Pasco Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 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.

CLIA laboratory certificates

Tax ID family

Kayshuv Enterprises LLC2 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.

• Kayshuv Enterprises, LLC

  • Long Term Care Pharmacy
  • Pasco, WA
  • NPI 1619883006
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manogna Choudary Pamidi, RPH

  • Pharmacist
  • Pasco, WA
  • NPI 1467933655
  NPD Authorized official

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1710504550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SANDIFUR PKWY",
            "address_2": "SUITE 102",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SANDIFUR PKWY",
            "address_2": "SUITE 102",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-567-7160",
            "fax_number": "509-567-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYSHUV ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-27",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "PAMIDI",
        "authorized_official_first_name": "MANOGNA",
        "authorized_official_middle_name": "CHOUDARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-567-7160",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pasco Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Pasco Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip M Karuman, M.D., PHD
• Kathleen Jo-Ann Kasper, CG61320420
• Richard B Kates, M.D.
• Satinder Pal Kaur, MPT
• Kayshuv Enterprises, LLC
• Rachel Keddison
• Mary Therese Keech
• Anna R Kelly
• Holly Jo Kelly, RNFA CNOR
• Joshua Stephen Kenyon

• Community/Retail Pharmacy in Pasco, WA
• Providers in Pasco, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.