Organization Active NPI

Sai Varuni Pharmacy LLC

  • Pharmacy
  • Newark, NJ
National Provider Identifier
1770095408
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAI VARUNI PHARMACY LLC
Practice address
709 Frelinghuysen Ave
Newark, NJ 07114-1304
Phone
(973) 424-0045
Fax
(973) 547-3306
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Mr. Rajasekhar Kantamneni
Title
Managing Member
Phone
(973) 424-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

709 Frelinghuysen Ave
Newark, NJ 07114-1304

Mailing address

709 Frelinghuysen Ave
Newark, NJ 07114-1304
Phone (973) 424-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181130000064 NJ DME Supplier - Pharmacy 8628312725 Practice locations: Newark, NJ
O20240316000174 NJ Part B Supplier - Pharmacy 8628312725 Practice locations: Newark, NJ

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 Varuni Pharmacy LLC709 Frelinghuysen Ave, Newark, NJ 07114-1304(973) 424-0045 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Sep 6, 2018

National Provider Directory

National Provider Directory

Locations

727 Frelinghuysen Ave
Newark, NJ 07114
Phone (973) 424-0045

709 Frelinghuysen Ave
Newark, NJ 07114
Phone (862) 276-3690

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1770095408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141304",
            "telephone_number": "973-424-0045",
            "fax_number": "973-547-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141304",
            "telephone_number": "973-424-0045",
            "fax_number": "973-547-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI VARUNI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-424-0045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.