Active NPI
KPR Pharmaceuticals Inc
- Community/Retail Pharmacy
- Carlisle, PA
National Provider Identifier
1053484774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP414966L
- Legal business name
- KPR PHARMACEUTICALS INC
- Practice address
- 233 E High St
Carlisle, PA 17013-2521 - Phone
- (717) 243-9100
- Fax
- (717) 243-8732
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramaswamy Gummadi
- Title
- President
- Phone
- (717) 243-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP414966L | PA | Primary |
Addresses
Primary practice location
233 E High St
Carlisle, PA 17013-2521
Mailing address
233 E High St
Carlisle, PA 17013-2521
Phone (717) 243-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124530 | Other | PK | |
| 1024678720001 | Medicaid | PA |
Other names 1
- smartmed prescription center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110819000481 | PA | DME Supplier - Pharmacy | 3971773433 | Practice locations: Carlisle, PA |
| O20120103000247 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3971773433 | Practice locations: Carlisle, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| KPR Pharmaceuticals Inc | Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
233 E High St
Carlisle, PA 17013
Phone (717) 243-9100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Carlisle, PA
- NPI 1043504137
-
- Pharmacist
- Carlisle, PA
- NPI 1225321326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1053484774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E HIGH ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132521",
"telephone_number": "717-243-9100",
"fax_number": "717-243-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E HIGH ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132521",
"telephone_number": "717-243-9100",
"fax_number": "717-243-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KPR PHARMACEUTICALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A",
"authorized_official_last_name": "GUMMADI",
"authorized_official_first_name": "RAMASWAMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-243-9100"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP414966L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124530",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024678720001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "smartmed prescription center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "smartmed prescription center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.