Provider Demographics
NPI:1114695095
Name:CASH PHARMACY
Entity Type:Organization
Organization Name:CASH PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SRIKANTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIVAKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-397-6687
Mailing Address - Street 1:3715 W LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3403
Mailing Address - Country:US
Mailing Address - Phone:614-397-6687
Mailing Address - Fax:
Practice Address - Street 1:3715 W LAKE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-3403
Practice Address - Country:US
Practice Address - Phone:614-397-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy