Community Care RX LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP482773 Issued in PA

Legal business name

COMMUNITY CARE RX LTC LLC

Doing business as

Community Care RX LTC

Practice address

7601 Castor Ave Ste 201
Philadelphia, PA 19152-4026

Phone

(215) 722-2500

Fax

(215) 722-7700

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Yana PekarevaNPI 1285488379

Title

Owner

Phone

(267) 255-2116

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• COMMUNITY CARE RX LTC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Yana Pekareva

  • Pharmacist
  • Philadelphia, PA
  • NPI 1285488379
  NPD Authorized official

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1437674173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVE STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524026",
            "telephone_number": "215-722-2500",
            "fax_number": "215-722-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVE STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524026",
            "telephone_number": "215-722-2500",
            "fax_number": "215-722-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE RX LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "PEKAREVA",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-255-2116"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CARE RX LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Communicate Clearly LLC
• Communities of Don Guanella and Divine Providence
• Community Academy of Philadelphia Charter School
• Community Advocates Association for Children and Youth, Inc
• Community Care Center of the Northeast
• Community Council
• Community Council
• Community Council
• Community Council
• Community Council

• Long Term Care Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.