Active NPI
VVLS Healthcare Inc
Doing business as RXD Medication Services
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1174544126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP414761L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014169380001 | Medicaid | PA | |
| 3966908 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PP414761L | Other | PA | STATE LICENSE |
| 5509009 | Medicaid | NJ | |
| 1025030930001 | Medicaid | PA | |
| 000986907 | Medicaid | DE |
Other names 1
- RXD Medication Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|
| RXD Medication Services | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.