Organization Active NPI

Horsham RX LLC

  • Community/Retail Pharmacy
  • Ambler, PA
National Provider Identifier
1316636905
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HORSHAM RX LLC
Practice address
1116 Horsham Rd Ste 8
Ambler, PA 19002-1143
Phone
(215) 970-9776
Fax
(215) 970-9778
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mr. Nilesh Rokad, RPHNPI 1700167392
Title
Sole Member
Phone
(215) 970-9776

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1116 Horsham Rd Ste 8
Ambler, PA 19002-1143

Mailing address

925 Longwood CT
Chalfont, PA 18914-4428
Phone (267) 218-4747

Other names 1

  • Prospectville Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017002368 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8022540889 Practice locations: Ambler, PA

National Provider Directory

National Provider Directory
Tax ID family
Horsham RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1116 Horsham Rd
Ste 8
Ambler, PA 19002
Phone (215) 970-9776

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1316636905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LONGWOOD CT",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144428",
            "telephone_number": "267-218-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HORSHAM RD STE 8",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021143",
            "telephone_number": "215-970-9776",
            "fax_number": "215-970-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSHAM RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "ROKAD",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "215-970-9776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospectville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.