Southside Pharmacy

LBN: Southside Pharmacy Inc
Southside Pharmacy is an health care organization with primary practice located at 766 Foote Ave , Jamestown NY 14701-8201. 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. Southside Pharmacy Inc can be contacted via phone (716) 487-0133, or through Sarvaiya, Salim via phone (716) 487-0133.

Contact Information

Primary practice address
766 Foote Ave Jamestown NY 14701-8201
Phone: (716) 487-0133
Fax: (716) 487-0233
Website:
Map and Directions
Authorized official contact:
Name: Sarvaiya, Salim RPH
Phone: (716) 487-0133

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 027526 New York

Profile Details

NPI number 1245209956
LBN Legal business name Southside Pharmacy Inc
DBA Doing business as Southside Pharmacy
Authorized official Sarvaiya, Salim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Apr 10th, 2014 - about 11 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 1245209956 NPPES
New York MEDICAID 02712274
New York Other 2066400

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