Provider Demographics
NPI:1891567426
Name:ADYA LLC
Entity Type:Organization
Organization Name:ADYA LLC
Other - Org Name:SMARTCARERX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHAMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHASANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:THUMU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-337-5250
Mailing Address - Street 1:1572 CITRUS MEDICAL CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4547
Mailing Address - Country:US
Mailing Address - Phone:407-337-5250
Mailing Address - Fax:407-337-5251
Practice Address - Street 1:1572 CITRUS MEDICAL CT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4547
Practice Address - Country:US
Practice Address - Phone:407-337-5250
Practice Address - Fax:407-337-5251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMATCARERX PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-26
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy