Active NPI
Dream RX, LLC
Doing business as Whitehall Pharmacy
- Long Term Care Pharmacy
- Whitehall, PA
National Provider Identifier
1215535984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DREAM RX, LLC
- Doing business as
- Whitehall Pharmacy
- Practice address
- 4117 Main St
Whitehall, PA 18052-1607 - Phone
- (610) 440-6337
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- 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. Rikin Patel
- Title
- Member
- Phone
- (610) 440-6337
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 |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
4117 Main St
Whitehall, PA 18052-1607
Mailing address
4117 Main St
Whitehall, PA 18052-1607
Phone (610) 440-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028752770001 | Medicaid | PA |
Other names 1
- WHITEHALL PHARMACY
National Provider Directory
National Provider DirectoryLocations
4117 Main St
Whitehall, PA 18052
Phone (610) 440-6337
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.
-
- Pharmacist
- Whitehall, PA
- NPI 1598193120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1215535984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 MAIN ST",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180521607",
"telephone_number": "610-440-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 MAIN ST",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180521607",
"telephone_number": "610-440-6337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RIKIN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "610-440-6337",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028752770001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WHITEHALL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.