MEDICARE: SVP DRUGS 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	040239	OTHER	NY	STATE BOARD OF PHARMACY REGISTRATION

General Provider Information

NPI Number	:	1669162863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SVP DRUGS CORP

Provider Business Mailing Address
First Line	:	903B SHERIDAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-3305
Country	:	US
Telephone Number	:	718-588-0761
Fax Number	:	718-588-0763

Provider Business Practice Location Address
First Line	:	903B SHERIDAN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-3305
Country	:	US
Telephone Number	:	718-588-0761
Fax Number	:	718-588-0763

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SRINIVAS KODURU
Credential	:
Telephone Number	:	347-453-7985

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/10/2023

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Directions to “SVP DRUGS CORP ” Practice Location

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