Organization Active NPI

VVLS Healthcare Inc

Doing business as RXD Medication Services

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1174544126
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414761L Issued in PA
Legal business name
VVLS HEALTHCARE INC
Doing business as
RXD Medication Services
Practice address
1335 West Tabor Road
Suite 102
Philadelphia, PA 19141
Phone
(215) 927-6700
Fax
(215) 924-0960
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Lalit C. Cherukuri, RPH
Title
Pharmacist in Charge
Phone
(215) 927-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP414761L PA Primary

Addresses

Primary practice location

1335 West Tabor Road
Suite 102
Philadelphia, PA 19141

Mailing address

1335 W Tabor Rd
Suite 102
Philadelphia, PA 19141
Phone (215) 927-6700

Other identifiers 6

IdentifierTypeStateIssuer
0014169380001MedicaidPA
3966908OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PP414761LOtherPASTATE LICENSE
5509009MedicaidNJ
1025030930001MedicaidPA
000986907MedicaidDE

Other names 1

  • RXD Medication Services Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160622000496 PA DME Supplier - Pharmacy 7810288875 Practice locations: Philadelphia, PA
O20210217003170 PA Part B Supplier - Pharmacy 7810288875 Practice locations: Philadelphia, 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
RXD Medication Services1335 West Tabor Road, Philadelphia, PA 19141-3039(215) 927-6700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Apr 28, 2016

National Provider Directory

National Provider Directory

Locations

1335 W Tabor Rd
Ste 102
Philadelphia, PA 19141
Phone (215) 927-6700

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174544126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-927-6700",
            "fax_number": "215-927-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 WEST TABOR ROAD",
            "address_2": "SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-927-6700",
            "fax_number": "215-924-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVLS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "LALIT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "215-927-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414761L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014169380001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3966908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP414761L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5509009",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025030930001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000986907",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RXD Medication Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RXD Medication Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.