NPIMap

Organization Active NPI

Healthy Kids RX LLC

  • Community/Retail Pharmacy
  • Wexford, PA
National Provider Identifier
1043409212
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481757 Issued in PA
Legal business name
HEALTHY KIDS RX LLC
Practice address
10441 Perry Hwy
Ste 16
Wexford, PA 15090-9292
Phone
(724) 934-5439
Fax
(724) 934-5442
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Keith ChrisanthusNPI 1235328550
Title
VP
Phone
(724) 934-5439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PP481757 PA Primary

Addresses

Primary practice location

10441 Perry Hwy
Ste 16
Wexford, PA 15090-9292

Mailing address

10441 Perry Hwy
Ste 16
Wexford, PA 15090-9292

Other identifiers 2

IdentifierTypeStateIssuer
3989235OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1022628480001MedicaidPA

Other names 1

  • HEALTHY KIDS RX Doing business as

National Provider Directory

National Provider Directory

Locations

10441 Perry Hwy
Ste 16
Wexford, PA 15090
Phone (724) 934-5439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1043409212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 PERRY HWY",
            "address_2": "STE 16",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 PERRY HWY",
            "address_2": "STE 16",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909292",
            "telephone_number": "724-934-5439",
            "fax_number": "724-934-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "CHRISANTHUS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "724-934-5439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3989235",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022628480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY KIDS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.