Aadesh RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25125 Issued in FL

Legal business name

AADESH RX LLC

Practice address

518 S 6TH Ave
Wauchula, FL 33873-3211

Phone

(863) 774-3536

Fax

(863) 774-3538

NPI assigned

Dec 20, 2010

Organization subpart

No

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

Authorized official

Name

Vikram Rao

Title

Pharmacist

Phone

(941) 524-6545

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• ECKERDS PHARMACY 101 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Aadesh RX LLC

  • Community/Retail Pharmacy
  • Palmetto, FL
  • NPI 1316243686

  1557531647

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Aadesh RX LLC

  • Community/Retail Pharmacy
  • Palmetto, FL
  • NPI 1316243686

  O20110829000165

  Same enrollment

Locations

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1215230875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733211",
            "telephone_number": "863-774-3536",
            "fax_number": "863-774-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733211",
            "telephone_number": "863-774-3536",
            "fax_number": "863-774-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AADESH RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "941-524-6545"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25125",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003090901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003090900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NH102089",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECKERDS PHARMACY 101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Wauchula, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.