Mahavir RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAHAVIR RX, LLC

Practice address

6216 Fayetteville Rd Ste 105
Durham, NC 27713

Phone

(919) 641-6112

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Prasanna Bafana, RPH

Title

Manager

Phone

(919) 908-0200

Specialties & licenses 1

Addresses

Other names 1

• Southpoint Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624147200000",
    "number": "1477039253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-908-0200",
            "fax_number": "919-908-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-641-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAVIR RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A",
        "authorized_official_last_name": "BAFANA",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-908-0200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southpoint Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Johanna Maguire, MSW, LCSW
• Jordan Kit Mah, MD
• Kris Michael Mahadeo, M.D.
• Maggie Mahaffey, LCMHC-A
• Jedidiah Aaron Mahan
• Mary Maher
• Michelle Massey Maher, MD
• Ashlie Mahlan
• John Harrison Mahoney, LCMHCA
• Melanie Tess Mahoney, PHARMD, CPP, MPH

• Community/Retail Pharmacy in Durham, NC
• Providers in Durham, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.