Healthcare Provider Details

I. General information

NPI: 1932010253
Provider Name (Legal Business Name): SND RX CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 MAIN AVE
CLIFTON NJ
07011-2160
US

IV. Provider business mailing address

1578 MAIN AVE
CLIFTON NJ
07011-2160
US

V. Phone/Fax

Practice location:
  • Phone: 973-955-4000
  • Fax: 973-955-4004
Mailing address:
  • Phone: 973-955-4000
  • Fax: 973-955-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: SANDEEP AKELLA
Title or Position: OWNER
Credential:
Phone: 631-356-3179