SOUTHSIDE PHARMACY INC (NPI# 1245209956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245209956 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PHARMACY INC |
| Other Organization Name | SOUTHSIDE PHARMACY |
| Practice Address |
766 Foote Ave Jamestown NY 14701-8201 |
| Practice Telephone | 7164870133 |
| Practice Fax Number | 7164870233 |
| Mailing Telephone | 7164870133 |
| Mailing Fax Number | 7164870233 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | SALIM SARVAIYA (OWNER) |
| Authorized Official Telephone | 7164870133 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
027526 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02712274 | 05 | |
| PK | 2066400 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHSIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579504 | Southside Pharmacy Inc | Pharmacy | 3141 Gollihar Rd, Corpus Christi, TX 78415-5057 | 2006-09-20 |
| 1548544752 | Southside Pharmacy Inc | Pharmacy | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2011-10-06 |
| 1902948961 | Southside Pharmacy Inc | Pharmacist | 3141 Gollihar Rd, Corpus Christi, TX 78415-5057 | 2007-02-13 |
| Street Address |
766 FOOTE AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987864 | Karen T. Gullotti | Pharmacist | 766 Foote Ave, Jamestown, NY 14701-8201 | 2006-03-26 |
| 1669441390 | Salim Sarvaiya | Pharmacist | 766 Foote Ave, Jamestown, NY 14701-8201 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1356444053 | North Carolina Cvs Pharmacy LLC | Pharmacy | 4700 Piedmont Pkwy, Jamestown, NC 27282-7505 | 2006-09-07 |
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| 1508174350 | Ihs Pharmacy & Wellness Center | Pharmacy | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2010-09-15 |
| 1841494820 | Walgreen Co. | Pharmacy | 515 E Central Ave, Jamestown, TN 38556-4105 | 2007-06-13 |
| 1235232075 | Cvs Albany LLC | Pharmacy | 19 S Main St, Jamestown, NY 14701-6636 | 2006-09-07 |
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| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
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| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.