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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245209956 | NPPES |
New York | MEDICAID | 02712274 | |
New York | Other | 2066400 |
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