NPIMap

Organization Active NPI

Maruti RX LLC

  • Long Term Care Pharmacy
  • Horsham, PA
National Provider Identifier
1346325636
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP413815L Issued in PA
Legal business name
MARUTI RX LLC
Practice address
575 Horsham Rd Unit C20
Horsham, PA 19044-0137
Phone
(215) 674-5050
Fax
(215) 957-5874
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Manan Patel, RPHNPI 1902155849
Title
Owner/Pic
Phone
(215) 674-5050

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies (DME) 332BN1400X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PP413815L PA Primary

Addresses

Primary practice location

575 Horsham Rd Unit C20
Horsham, PA 19044-0137

Mailing address

575 Horsham Rd Unit C20
Horsham, PA 19044-0137
Phone (215) 674-5050

Other identifiers 2

IdentifierTypeStateIssuer
01447818MedicaidPA
2085425OtherPK

Other names 2

  • HORSHAM SQUARE PHARMACY Doing business as
  • Horsham Square Pharmacy & Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1-833-781-1105 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20131007000106 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4880805316 Practice locations: Horsham, PA
O20240411004563 PA Part B Supplier - Pharmacy 8022457985 Practice locations: Horsham, PA
O20240715003360 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8022457985 Practice locations: Horsham, PA

National Provider Directory

National Provider Directory
Tax ID family
Horsham Square Pharmacy2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1346325636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HORSHAM RD UNIT C20",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190440137",
            "telephone_number": "215-674-5050",
            "fax_number": "215-957-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HORSHAM RD UNIT C20",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190440137",
            "telephone_number": "215-674-5050",
            "fax_number": "215-957-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARUTI RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "215-674-5050",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP413815L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01447818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085425",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1-833-781-1105",
            "affiliation": "N",
            "endpointDescription": "1-833-781-1105",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure fax line",
            "address_1": "575 Horsham Rd Unit C20",
            "city": "Horsham",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190440137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HORSHAM SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horsham Square Pharmacy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horsham Square Pharmacy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.