Sai Venkata Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00687400 Issued in NJ

Legal business name

SAI VENKATA INC

Doing business as

CRESSKILL PHARMACY

Practice address

2 Union Ave
Cresskill, NJ 07626-2125

Phone

(201) 568-4737

Fax

(201) 568-0908

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Sreelatha VattimilliNPI 1184134439

Title

President

Phone

(201) 568-4737

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CRESSKILL 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.

• Sreelatha Vattimilli, RPH

  • Pharmacist
  • Cresskill, NJ
  • NPI 1184134439
  NPD (past) Authorized official
• Michelle Teresa Torpey, PHARMACIST

  • Pharmacist
  • Hawthorne, NJ
  • NPI 1366256042
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1780695205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-568-4737",
            "fax_number": "201-568-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-568-4737",
            "fax_number": "201-568-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI VENKATA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "VATTIMILLI",
        "authorized_official_first_name": "SREELATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-568-4737"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00687400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196835",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESSKILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Rothlein, MT
• Anne Rothman, PH.D.
• Lori J. Rubin, PH.D.
• Russell F Guba Jr MD
• Tara Ann Sager, PH.D.
• Barbara Sanchez
• Karen Ann Saraydarian
• Ginna P Sayag, FNP
• Phyllis Scharf
• Antonella N Scofield, MS, CCC-SLP

• Community/Retail Pharmacy in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.