Organization Active NPI

Ssa Holdings LLC

Doing business as Amarillo Pharmacy

  • Community/Retail Pharmacy
  • Amarillo, TX
National Provider Identifier
1982076147
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30281 Issued in TX
Legal business name
SSA HOLDINGS LLC
Doing business as
Amarillo Pharmacy
Practice address
6010 S Western St Ste 100
Amarillo, TX 79110-3612
Phone
(806) 803-9401
Fax
(806) 803-9412
NPI assigned
Oct 28, 2015
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Ramakrishna Samala
Title
Manager, Ao
Phone
(806) 676-8886

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 30281 TX Primary
Long Term Care Pharmacy 3336L0003X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

6010 S Western St Ste 100
Amarillo, TX 79110-3612

Mailing address

6010 S Western St
Suite 100
Amarillo, TX 79110-3612
Phone (806) 803-9401

Other identifiers 2

IdentifierTypeStateIssuer
2154864OtherPK
148679MedicaidTX

Other names 1

  • Amarillo Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1982076147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 S WESTERN ST",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103612",
            "telephone_number": "806-803-9401",
            "fax_number": "806-803-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 S WESTERN ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103612",
            "telephone_number": "806-803-9401",
            "fax_number": "806-803-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "MANAGER, AO",
        "authorized_official_telephone_number": "806-676-8886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30281",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amarillo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.