Organization Active NPI

Sai Sarva Pharmacy LLC

Doing business as Rx Express Pharmacy of E Northport

  • Community/Retail Pharmacy
  • Huntington, NY
National Provider Identifier
1710526413
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAI SARVA PHARMACY LLC
Doing business as
Rx Express Pharmacy of E Northport
Practice address
1842 E Jericho Tpke
Huntington, NY 11743-5796
Phone
(631) 462-2233
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Rajasekhar R Kantamneni
Title
Managing Member
Phone
(631) 462-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1842 E Jericho Tpke
Huntington, NY 11743-5796

Mailing address

1842 E Jericho Tpke
Huntington, NY 11743-5796

Other names 1

  • Rx Express Pharmacy of E Northport Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxexpress@optonline.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210223001365 NY DME Supplier - Pharmacy 6406261551 Practice locations: Huntington, NY
O20220610000404 NY Part B Supplier - Pharmacy 6406261551 Practice locations: Huntington, NY
O20230313000494 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6406261551 Practice locations: Huntington, NY

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 Sarva Pharmacy LLC1842 E Jericho Tpke, Huntington, NY 11743-5796(631) 462-2233 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 13, 2021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1710526413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 E JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 E JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435796",
            "telephone_number": "631-462-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI SARVA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-462-2233"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxexpress@optonline.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1842 E Jericho Tpke",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117435796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rx Express Pharmacy of E Northport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rx Express Pharmacy of E Northport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.