Bethlehem Pharmacy RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482762 Issued in PA

Legal business name

BETHLEHEM PHARMACY RX INC

Practice address

817 E 4TH St
FLR1
Bethlehem, PA 18015-1931

Phone

(610) 419-6522

Fax

(610) 419-6544

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Pradeep Rayapudi

Title

Owner/Ao

Phone

(609) 375-7899

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BETHLEHEM PHARMACY RX INC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Bethlehem Pharmacy RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethlehem Pharmacy RX Inc

  • Long Term Care Pharmacy
  • Bethlehem, PA
  • NPI 1770397432
  NPD tax ID

Practitioners 2

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

• Sridevi Bavirisetty

  • Pharmacist
  • Breinigsville, PA
  • NPI 1114476819
  NPD
• Hannah DO

  • Pharmacist
  • Bethlehem, PA
  • NPI 1982246278
  NPD (past)

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1184138489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E 4TH ST",
            "address_2": "FL1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151931",
            "telephone_number": "610-419-6522",
            "fax_number": "610-419-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 4TH ST",
            "address_2": "FLR1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151931",
            "telephone_number": "610-419-6522",
            "fax_number": "610-419-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM PHARMACY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "RAYAPUDI",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "609-375-7899"
    },
    "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": "PP482762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173964",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103441843 0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034418430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHLEHEM PHARMACY RX INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.