Patient Direct RX

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PP482173 Issued in PA

Legal business name

PATIENT DIRECT RX

Practice address

301 Oxford Valley Road, Suite 1203a
Yardley, PA 19067

Phone

(866) 567-1642

Fax

(215) 323-4106

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Eric Borell

Title

Owner

Phone

(866) 567-1642

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Patient Direct Rx Doing business as

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1386187474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY ROAD, SUITE 1203A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "866-567-1642",
            "fax_number": "215-323-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY ROAD, SUITE 1203A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "866-567-1642",
            "fax_number": "215-323-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT DIRECT RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BORELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-567-1642"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "PA",
            "license": "PP482173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Direct Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient Direct Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kanan Patel, CRNP
• Kanchi Patel
• Mukundkumar T. Patel
• Raj P Patel, DMD
• Rakesh Patel, MD
• Patient-Direct RX LLC
• Paul M Kosmorsky Sole MBR
• Paul M. Kosmorsky D.O.P.C.
• Paul S Rosen DMD Ms PC
• Peace of Mind Mental Health and Wellness LLC

• All providers in Yardley, PA
• Mail Order Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.