Raina Pharmacy LLC

Key facts

NPI

1407248503

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

033397 (NY)

Legal business name

RAINA PHARMACY LLC

Practice address

113 S Main St
Manchester, NY 14504-9786

Phone

(585) 289-3002

Fax

(585) 289-8707

NPI assigned

Feb 26, 2015

Organization subpart

No

Authorized official

Name

Abhishek Patel

Title

Member

Phone

(585) 289-3002

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Red Jacket Pharmacy, Medicine Shoppe 2025 Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2017.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1407248503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "MANCHESTER",
            "state": "NY",
            "postal_code": "145040086",
            "telephone_number": "585-289-3002",
            "fax_number": "585-289-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NY",
            "postal_code": "145049786",
            "telephone_number": "585-289-3002",
            "fax_number": "585-289-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ABHISHEK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-289-3002"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150641",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Jacket Pharmacy, Medicine Shoppe 2025",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Manchester, NY · Community/Retail Pharmacy in New York