Public Drug RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP410672L Issued in PA

Legal business name

PUBLIC DRUG RX LLC

Practice address

6925 Ludlow St
Upper Darby, PA 19082-2304

Phone

(610) 352-5015

Fax

(610) 352-9107

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Vivek Davar

Title

Owner

Phone

(610) 352-5015

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Public Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Rachna Davar, PHARM.D

  • Pharmacist
  • Kennett Square, PA
  • NPI 1104185636
  NPD
• Paramjit Singh Jittla

  • Pharmacist
  • Upper Darby, PA
  • NPI 1962240275
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726358400000",
    "number": "1245370394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 LUDLOW ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822304",
            "telephone_number": "610-352-5015",
            "fax_number": "610-352-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 LUDLOW ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822304",
            "telephone_number": "610-352-5015",
            "fax_number": "610-352-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC DRUG RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-352-5015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410672L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410672L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410672L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3947807",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016269710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Public Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.