MEDICARE: SIDHI RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	034068	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2155638	OTHER		PK

General Provider Information

NPI Number	:	1023489606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIDHI RX INC

Provider Business Mailing Address
First Line	:	1913 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226
Country	:	US
Telephone Number	:	718-282-2956
Fax Number	:	718-282-6556

Provider Business Practice Location Address
First Line	:	1913 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-7917
Country	:	US
Telephone Number	:	718-282-2956
Fax Number	:	718-282-6556

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	KRISHNA INAPURI
Credential	:
Telephone Number	:	718-282-2956

Provider Enumeration Date	:	10/08/2015
Last Update Date	:	09/19/2025

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Directions to “SIDHI RX INC ” Practice Location

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