Organization Active NPI

Rezk Pharmacy LLC

  • Long Term Care Pharmacy
  • Carrolltown, PA
National Provider Identifier
1275856148
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REZK PHARMACY LLC
Practice address
204 South Main St
Suite 100
Carrolltown, PA 15722
Phone
(814) 344-2200
Fax
(814) 344-2600
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Richard Joseph Rezk, PHARM D
Title
Pharmacist
Phone
(814) 243-4915

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X PP481996 PA

Addresses

Primary practice location

204 South Main St
Suite 100
Carrolltown, PA 15722

Mailing address

PO Box 369
Carrolltown, PA 15722-0369
Phone (814) 344-2200

Other identifiers 1

IdentifierTypeStateIssuer
1024911070001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1275856148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220369",
            "telephone_number": "814-344-2200",
            "fax_number": "814-344-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH MAIN ST",
            "address_2": "SUITE 100",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "15722",
            "telephone_number": "814-344-2200",
            "fax_number": "814-344-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "REZK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "814-243-4915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP481996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024911070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrolltown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.