NPIMap

Organization Active NPI

Sina Drug LLC

  • Specialty Pharmacy
  • Louisville, KY
National Provider Identifier
1861935835
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
P07621 Issued in KY
Legal business name
SINA DRUG LLC
Practice address
13410 Eastpoint Centre Dr
Ste 101
Louisville, KY 40223-4160
Phone
(877) 662-6633
Fax
(502) 849-0643
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Amy Konak
Title
VP, Revenue Cycle MGT
Phone
(877) 662-6633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07621 KY
Community/Retail Pharmacy 3336C0003X P07621 KY
Specialty Pharmacy 3336S0011X P07621 KY Primary

Addresses

Primary practice location

13410 Eastpoint Centre Dr
Ste 101
Louisville, KY 40223-4160

Mailing address

13410 Eastpoint Centre Dr
Ste 101
Louisville, KY 40223-4160
Phone (877) 662-6633

Other identifiers 2

IdentifierTypeStateIssuer
710033170MedicaidKY
P07621OtherKYPHARMACY PERMIT

Other names 1

  • ONCO360 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117000514 KY Part B Supplier - Pharmacy 9234345844 Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sina Drug LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1861935835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "502-849-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "KONAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE MGT",
        "authorized_official_telephone_number": "877-662-6633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07621",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07621",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "P07621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710033170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P07621",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONCO360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.