Provider Demographics
NPI:1164562369
Name:SAINATH PHARMACY INC
Entity Type:Organization
Organization Name:SAINATH PHARMACY INC
Other - Org Name:KINGSBRIDGE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEVAK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-432-2240
Mailing Address - Street 1:200C W 231ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5359
Mailing Address - Country:US
Mailing Address - Phone:718-432-2240
Mailing Address - Fax:718-432-2242
Practice Address - Street 1:200C W 231ST ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5359
Practice Address - Country:US
Practice Address - Phone:718-432-2240
Practice Address - Fax:718-432-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0270163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02624037Medicaid
NY02624037Medicaid