NPI

Srisai Rx Mart Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2014-04-10
Last updated
2014-04-10

Specialties

Licenses

License IL
054014379

Location

Practice location
304 Sunset Dr
City
Le Roy IL
Postal code
61752-1679
Phone
(309) 962-3627

Organization contact

Name
SIVA JONNALGADA
Title
manager
Phone
7324940458

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Le Roy, IL. 25 records in the public file.

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