MEDICARE: SANVI CORP.

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396267654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANVI CORP.

Provider Business Mailing Address
First Line	:	1902 SANTO DOMINGO
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-4060
Country	:	US
Telephone Number	:	817-653-7454
Fax Number	:	817-345-0450

Provider Business Practice Location Address
First Line	:	1201 WOODHAVEN BLVD STE 1221
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2377
Country	:	US
Telephone Number	:	817-653-7454
Fax Number	:	817-345-0450

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	ANOOP PODDAR
Credential	:	PHARMACIST
Telephone Number	:	973-615-7346

Provider Enumeration Date	:	07/07/2017
Last Update Date	:	09/29/2025

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Directions to “SANVI CORP. ” Practice Location

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