Ardis Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ARDIS PHARMA LLC

Practice address

8822 Portage Rd
Portage, MI 49002

Phone

(269) 327-3049

NPI assigned

Oct 3, 2021

Organization subpart

No

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

Authorized official

Name

Amarsena R SappidiNPI 1710152707

Title

President

Phone

(269) 327-3049

Specialties & licenses 1

Addresses

Other names 1

• Westlake Drug & Giftshop Doing business as

Medicare fee-for-service enrollment

Enrolled in MI3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Amarsena Reddy Sappidi, B.PHARM

  • Pharmacist
  • Battle Creek, MI
  • NPI 1710152707
  NPD Authorized official

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1982376497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490026416",
            "telephone_number": "269-327-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-327-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDIS PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "SAPPIDI",
        "authorized_official_first_name": "AMARSENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-327-3049"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Drug & Giftshop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westlake Drug & Giftshop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Portage, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.