Organization
SINA DRUG LLC
Active
Other names
Onco360
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KONAK (VP, REVENUE CYCLE MGT)
(877) 662-6633
Entity
Organization
Contact information
Practice address
13410 EASTPOINT CENTRE DR, STE 101, LOUISVILLE, KY 40223-4160
(877) 662-6633
(877) 662-6355
Mailing address
13410 EASTPOINT CENTRE DR, STE 101, LOUISVILLE, KY 40223-4160
(877) 662-6633
(877) 662-6355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K302150
MEDICARE B
—
Enumeration date
04/02/2014
Last updated
07/24/2025
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