<Unavail>

LBN: Sai Rx Mart Llc
<Unavail> is an health care organization with primary practice located at 173 Broad St , Staten Island NY 10304-2057. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sai Rx Mart Llc can be contacted via phone (718) 447-4127, or through Kanumuri, Trivikram via phone (718) 447-4127.

Contact Information

Primary practice address
173 Broad St Staten Island NY 10304-2057
Phone: (718) 447-4127
Fax: (718) 273-1232
Website:
Map and Directions
Authorized official contact:
Name: Kanumuri, Trivikram RPH
Phone: (718) 447-4127

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 035081 New York

Profile Details

NPI number 1609327113
LBN Legal business name Sai Rx Mart Llc
DBA Doing business as <Unavail>
Authorized official Kanumuri, Trivikram RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2016
Last updated Apr 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609327113 NPPES
Other 2167918 PK
MEDICAID 04680228 PK

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