Evolve RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EVOLVE RX LLC

Practice address

1618 Schadt Ave
Whitehall, PA 18052-3702

Phone

(610) 351-6337

Fax

(610) 351-6338

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Nick Niketan Desai, PHARMDNPI 1700299823

Title

Owner/Pharmacy Manager

Phone

(610) 351-6337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zephyr Pharmacy Doing business as

Locations

Practitioners 1

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

• Nick Niketan Desai, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1700299823
  NPD Authorized official

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1104474949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 SCHADT AVE",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523702",
            "telephone_number": "610-351-6337",
            "fax_number": "610-351-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 SCHADT AVE",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523702",
            "telephone_number": "610-351-6337",
            "fax_number": "610-351-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "NIKETAN",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "610-351-6337",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035779120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zephyr Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Eberts, MS, LBS
• Samantha Engel
• Thomas Philip Englert, D.M.D.
• Etowah Dialysis LLC
• Leah Evert, PHARMD
• Evolve RX LLC
• Kristen Marie Fahey, O.D.
• Karen Krause Fairchild, RN, MSN, FNP-BC
• Stephanie A Falcone, MT-BC
• Jasmina Hirenkumar Faldu

• Long Term Care Pharmacy in Whitehall, PA
• Providers in Whitehall, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.