Active NPI
Universalrx LLC
- Pharmacy
- Allentown, PA
National Provider Identifier
1184392565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- UNIVERSALRX LLC
- Practice address
- 161 W Tilghman St
Allentown, PA 18102-2519 - Phone
- (610) 351-5041
- NPI assigned
- Sep 1, 2021
- Last updated
- Aug 9, 2022
- 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. Ahmed Ansary Moftah
- Title
- President/Pic
- Phone
- (201) 238-9818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
161 W Tilghman St
Allentown, PA 18102-2519
Mailing address
161 W Tilghman St
Allentown, PA 18102-2519
Phone (610) 351-5041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | UNIVERSALRXPHARMACY@HOTMAIL.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220907000914 | PA | Part B Supplier - Pharmacy | 3274917406 | Practice locations: Allentown, PA |
National Provider Directory
National Provider DirectoryLocations
161 W Tilghman St
Allentown, PA 18102
Phone (201) 238-9818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy
- Allentown, PA
- NPI 1033886866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1184392565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181022519",
"telephone_number": "610-351-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181022519",
"telephone_number": "610-351-5041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSALRX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "MOFTAH",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "ANSARY",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "201-238-9818",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "UNIVERSALRXPHARMACY@HOTMAIL.COM",
"affiliation": "N",
"address_1": "161 W Tilghman St",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181022519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.