Organization Active NPI

Westside Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Syracuse, NY
National Provider Identifier
1992274831
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WESTSIDE FAMILY PHARMACY LLC
Practice address
601 Butternut St
Syracuse, NY 13208-2737
Phone
(315) 928-6333
Fax
(315) 373-0080
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Authorized official

Name
Mrs. Mallika Kopalle
Title
Member
Phone
(315) 928-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

601 Butternut St
Syracuse, NY 13208-2737

Mailing address

601 Butternut St
Syracuse, NY 13208-2737
Phone (315) 928-6333

Other names 1

  • Syracuse Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190523000324 NY DME Supplier - Pharmacy 1153664750 Practice locations: Syracuse, NY
O20210419002291 NY Part B Supplier - Pharmacy 1153664750 Practice locations: Syracuse, NY
O20210507001224 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1153664750 Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory
Tax ID family
Syracuse Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

601 Butternut St
Syracuse, NY 13208
Phone (315) 928-6333

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1992274831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BUTTERNUT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082737",
            "telephone_number": "315-928-6333",
            "fax_number": "315-373-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUTTERNUT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082737",
            "telephone_number": "315-928-6333",
            "fax_number": "315-373-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "KOPALLE",
        "authorized_official_first_name": "MALLIKA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-928-6333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.