Provider Demographics
NPI:1558740209
Name:SHRINATHJEE LLC
Entity Type:Organization
Organization Name:SHRINATHJEE LLC
Other - Org Name:BEST RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BANJARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-297-0876
Mailing Address - Street 1:1825 TAMIAMI TRL
Mailing Address - Street 2:UNIT B-7
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1077
Mailing Address - Country:US
Mailing Address - Phone:941-979-5301
Mailing Address - Fax:941-979-5401
Practice Address - Street 1:1825 TAMIAMI TRL
Practice Address - Street 2:UNIT B-7
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1077
Practice Address - Country:US
Practice Address - Phone:941-979-5301
Practice Address - Fax:941-296-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
FLPH291303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152226OtherPK
FL015119600Medicaid