Organization Active NPI

Sri Ganesh Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Berlin, MD
National Provider Identifier
1780275685
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SRI GANESH PHARMACY SERVICES LLC
Practice address
500 Franklin Ave
Berlin, MD 21811-1337
Phone
(410) 775-8195
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Tejas Sheth, RPH
Title
Managing Partner
Phone
(302) 519-6847

Specialties & licenses 1

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

Addresses

Primary practice location

500 Franklin Ave
Berlin, MD 21811-1337

Mailing address

10121 Fast Colors LN
Berlin, MD 21811-1501
Phone (410) 775-8195

Other names 1

  • ATLANTIC DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

500 Franklin Ave
Unit 2
Berlin, MD 21811
Phone (410) 775-8195

500 Franklin Ave
Berlin, MD 21811
Phone (410) 641-3222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1780275685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 FAST COLORS LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111501",
            "telephone_number": "410-775-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FRANKLIN AVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111337",
            "telephone_number": "410-775-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI GANESH PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "302-519-6847",
        "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": "ATLANTIC DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.