Organization Active NPI

Harrolds Pharmacy Inc LTC

  • Long Term Care Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1376244855
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HARROLDS PHARMACY INC LTC
Practice address
250 Old River Road
Wilkes Barre, PA 18702-1621
Phone
(570) 822-5794
Fax
(570) 824-8730
NPI assigned
Mar 13, 2023
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HARROLDS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Pratik Patel, RPH
Title
President
Phone
(570) 822-5794

Specialties & licenses 1

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

Addresses

Primary practice location

250 Old River Road
Wilkes Barre, PA 18702-1621

Mailing address

250 Old River Road
Wilkes Barre, PA 18702-1621
Phone (570) 822-5794

Other identifiers 1

IdentifierTypeStateIssuer
0076975130004MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Harrold's Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Harrold's Pharmacy Inc

Other organizations with this tax ID 1

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

Locations

250 Old River Rd
Wilkes Barre, PA 18702
Phone (570) 822-5794

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1376244855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER ROAD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021621",
            "telephone_number": "570-822-5794",
            "fax_number": "570-824-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER ROAD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021621",
            "telephone_number": "570-822-5794",
            "fax_number": "570-824-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARROLDS PHARMACY INC LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARROLDS PHARMACY INC",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-822-5794",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076975130004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.