Nirut Desai
Individual provider Active NPI Pharmacist · Enola, PA
NPI 1003229485 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1003229485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP443640 (PA)
- Practice address
- 455 N Enola Rd
Enola, PA 17025-2128 - Phone
- (717) 732-3666
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP443640 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP443640 | PA | Yes |
Addresses
Primary practice location
455 N Enola Rd
Enola, PA 17025-2128
Mailing address
455 N Enola Rd
Enola, PA 17025-2128
Phone (717) 732-3666
Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.