Provider Demographics
NPI:1114667938
Name:SSAM RX INC
Entity Type:Organization
Organization Name:SSAM RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SREENIVASA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALLAPAREDDYGARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-624-5088
Mailing Address - Street 1:20 KINGLET DR N
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2127
Mailing Address - Country:US
Mailing Address - Phone:810-624-5088
Mailing Address - Fax:
Practice Address - Street 1:209 APPLEGARTH RD STE 105
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3843
Practice Address - Country:US
Practice Address - Phone:609-642-8208
Practice Address - Fax:609-300-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy