Provider Demographics
NPI:1275661530
Name:REDDYS INC
Entity Type:Organization
Organization Name:REDDYS INC
Other - Org Name:REDDYS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-394-9900
Mailing Address - Street 1:422 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:422 CENTER ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2332
Practice Address - Country:US
Practice Address - Phone:609-394-9900
Practice Address - Fax:609-394-9135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS006296003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3145667OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3145667OtherOTHER ID NUMBER
NJPAAD0119539Medicaid
5320660001Medicare NSC