Organization Active NPI

KPR Pharmaceuticals Inc

  • Community/Retail Pharmacy
  • Carlisle, PA
National Provider Identifier
1053484774
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414966L Issued in PA
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

Updated by the provider on Feb 16, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2124530OtherPK
1024678720001MedicaidPA

Other names 1

  • smartmed prescription center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
KPR Pharmaceuticals Inc233 E High St, Carlisle, PA 17013-2521(717) 243-9100 Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Sep 23, 2011

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.