Anika Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05590 Issued in MD

Legal business name

ANIKA PHARMACY CORP

Practice address

13929 Baltimore Ave Ste 4
Laurel, MD 20707-5045

Phone

(301) 490-8311

Fax

(301) 490-8244

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Narendar Bokka

Title

President

Phone

(718) 649-9535

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• lorven pharmacy Doing business as

Locations

Practitioners 2

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

• Prudvi Reddy Pedaveeti

  • Pharmacist
  • Laurel, MD
  • NPI 1144566324
  NPD
• Suresh R Jannapally, RPH

  • Pharmacist
  • Silver Spring, MD
  • NPI 1639476096
  NPD (past)

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1740565357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 BALTIMORE AVE STE 4",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075045",
            "telephone_number": "301-490-8311",
            "fax_number": "301-490-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13929 BALTIMORE AVE STE 4",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075045",
            "telephone_number": "301-490-8311",
            "fax_number": "301-490-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIKA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "BOKKA",
        "authorized_official_first_name": "NARENDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-649-9535"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2136162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lorven pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Laurel, MD
• Providers in Laurel, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.