Organization Active NPI

Dream RX, LLC

Doing business as Whitehall Pharmacy

  • Long Term Care Pharmacy
  • Whitehall, PA
National Provider Identifier
1215535984
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Mr. Rikin PatelNPI 1598193120
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1028752770001MedicaidPA

Other names 1

  • WHITEHALL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.