Provider Demographics
NPI:1457154148
Name:ORANGE INC
Entity type:Organization
Organization Name:ORANGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SIVASANKAR
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:BEERAVALLI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:540-623-9183
Mailing Address - Street 1:621 ARBOR PRESS CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5951
Mailing Address - Country:US
Mailing Address - Phone:540-623-9183
Mailing Address - Fax:
Practice Address - Street 1:130 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1555
Practice Address - Country:US
Practice Address - Phone:540-661-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy