Active NPI
Rezk Pharmacy LLC
- Long Term Care Pharmacy
- Carrolltown, PA
National Provider Identifier
1275856148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024911070001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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
- Patton Family Medical Center Inc
- Patton Family Medical Center, Christopher Paronish M.D., LLC
- Patton Family Medical Center, Christopher Paronish MD, LLC
- Prodigy Dialysis
- Denise Rematt, PT
- Rhonda a Wendekier
- Christine M Rohanna, DO
- Barbara Jo Sharbaugh, RPH
- Neil Sharbaugh, PHARMD
- Sharbaugh'S Drug Store Inc
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.