SRISAI RX MART LLC (NPI# 1013043413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013043413 |
Entity Type | Organization |
Organization Name | SRISAI RX MART LLC |
Other Organization Name | SANFORD FAMILY PHARMACY |
Practice Address |
28 W Saginaw Rd Sanford MI 48657-9206 |
Practice Telephone | 9896872612 |
Practice Fax Number | 9896875596 |
Mailing Telephone | 9896872612 |
Mailing Fax Number | 9896875596 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-04-09 |
Authorized Official Name | SIVA JONNALGADA (MANAGER) |
Authorized Official Telephone | 7324940458 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010291 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2143276 | 01 |
Other Name | Type Code |
---|---|
sanford family pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861811549 | Srisai Rx Mart LLC | Pharmacy | 304 Sunset Dr, Le Roy, IL 61752-1679 | 2014-04-10 |
Street Address |
28 W SAGINAW RD |
City | SANFORD |
State | MI |
Zip Code | 48657-9206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528202561 | Heidi Deborah Krenzke | Massage Therapist | 474 Taylor Dr., Sanford, MI 48657 | 2009-04-21 |
1356306641 | Michael Dale Bowen | Dentist | 292 E Saginaw Rd, Sanford, MI 48657 | 2006-04-19 |
1861827081 | Tina Lynn Kopka | Occupational Therapist | 896 W Lake Forest Dr, Sanford, MI 48657-9126 | 2013-09-06 |
1609864164 | Jennifer Lynn Dear | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2005-10-10 |
1902234255 | Elizabeth Eva Wright | Physician Assistant | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2013-10-24 |
1619229663 | Midmichigan Medical Center Clare | Clinic/Center | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2012-10-15 |
1265535272 | Tammy Phillips | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2006-09-06 |
1740621606 | Michael D Bowen Dds PC | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-07-08 |
1780020057 | Christina M Behring | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-05-14 |
1609333418 | Sidney R Barnett | Licensed Practical Nurse | 1172 E Buckhorn Cir, Sanford, MI 48657-9241 | 2019-02-28 |
Find all providers in zip 48657 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1295008704 | Health Innovations Pharmacy Inc | Pharmacy | 814 Spring Ln, Sanford, NC 27330-3437 | 2012-02-14 |
1043314024 | Holiday Cvs LLC | Pharmacy | 3798 S Orlando Dr, Sanford, FL 32773-5614 | 2006-09-12 |
1053415976 | Cvs State Capital LLC | Pharmacy | 797 Main St Ste D, Sanford, ME 04073-3536 | 2006-09-12 |
1750484432 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1802 S Horner Blvd, Sanford, NC 27330-5839 | 2006-09-07 |
1841610276 | Adventist Health Systems Sunbelt Healthcare Corporation | Pharmacy | 582 Monroe Rd, Suite 1412b, Sanford, FL 32771-8821 | 2014-04-24 |
1265648885 | Seminole County Health Department Pharmacy | Pharmacy | 400 W Airport Blvd, Sanford, FL 32773-5489 | 2007-05-14 |
Find all providers in SANFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.