Keshav RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412728L Issued in PA

Legal business name

KESHAV RX LLC

Practice address

89 S Main St
Mountain Top, PA 18707-1920

Phone

(570) 474-6520

Fax

(570) 474-0806

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandip Patel, PHARM D

Title

Owner

Phone

(201) 920-9145

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRIANGLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA3 enrollments

Enrollment records 3

Tax ID family

Keshav RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keshav RX LLC

  • Long Term Care Pharmacy
  • Mountain Top, PA
  • NPI 1639961535
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1013069756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 S MAIN ST",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071920",
            "telephone_number": "570-474-6520",
            "fax_number": "570-474-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S MAIN ST",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071920",
            "telephone_number": "570-474-6520",
            "fax_number": "570-474-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAV RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-920-9145",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412728L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044047550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIANGLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Kirk Kaster
• Jeffrey G Katchko, RPH
• Ken Foster, DMD LLC
• Dallas Erinn Elizabeth Kendra, PHARMD
• Zachary Kendra, PHARMD
• Keshav RX LLC
• Nathalie Danielle Kocon, PHARMD
• Maureen Marso Ksminski, LMT
• Malory Kulick
• Krista Kutney, DPM

• Community/Retail Pharmacy in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.