NPIMap

Organization Active NPI

Suddha Pharmacy, LLC

  • Long Term Care Pharmacy
  • Palm Beach, FL
National Provider Identifier
1972841229
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH21413 Issued in FL
Legal business name
SUDDHA PHARMACY, LLC
Doing business as
Fedco Drugs LTC
Practice address
255 Sunrise Ave
Palm Beach, FL 33480-3876
Phone
(561) 659-6713
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Amar Patel
Title
Manager
Phone
(561) 659-6713

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PH21413 FL Primary

Addresses

Primary practice location

255 Sunrise Ave
Palm Beach, FL 33480-3876

Mailing address

255 Sunrise Ave
Palm Beach, FL 33480-3876
Phone (561) 659-6713

Other identifiers 1

IdentifierTypeStateIssuer
5713121OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Fedco Drugs LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fedco Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

255 Sunrise Ave
Palm Beach, FL 33480
Phone (561) 659-6713

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1972841229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SUNRISE AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334803876",
            "telephone_number": "561-659-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SUNRISE AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334803876",
            "telephone_number": "561-659-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDDHA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-659-6713"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH21413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fedco Drugs LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.