Provider Demographics
NPI:1003415019
Name:ADYA LLC
Entity Type:Organization
Organization Name:ADYA LLC
Other - Org Name:SMARTCARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHASANKA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:THUMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-337-5250
Mailing Address - Street 1:1572 CITRUS MEDICAL CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4547
Mailing Address - Country:US
Mailing Address - Phone:407-337-5250
Mailing Address - Fax:407-337-5251
Practice Address - Street 1:1572 CITRUS MEDICAL CT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4547
Practice Address - Country:US
Practice Address - Phone:407-337-5250
Practice Address - Fax:407-337-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH32968OtherCOMMUNITY RETAIL