Organization Active NPI

Rayna LLC

  • Long Term Care Pharmacy
  • Sellersville, PA
National Provider Identifier
1487903746
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP482336 Issued in PA
Legal business name
RAYNA LLC
Practice address
807 Lawn Ave
Room 104
Sellersville, PA 18960-1549
Phone
(267) 354-1833
Fax
(267) 354-1915
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Jignesh PatelNPI 1619299153
Title
Owner
Phone
(551) 998-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PP482336 PA Primary

Addresses

Primary practice location

807 Lawn Ave
Room 104
Sellersville, PA 18960-1549

Mailing address

807 Lawn Ave
Room 104
Sellersville, PA 18960-1549
Phone (267) 354-1833

Other identifiers 2

IdentifierTypeStateIssuer
103613572MedicaidPA
2137297OtherPK

Other names 1

  • Sellersville Pharmacy at Penn Foundation Doing business as

National Provider Directory

National Provider Directory

Locations

807 Lawn Ave
Rm 104
Sellersville, PA 18960
Phone (267) 354-1833

218 S Main St
Sellersville, PA 18960
Phone (215) 257-9077

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1487903746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "address_2": "ROOM 104",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "267-354-1833",
            "fax_number": "267-354-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "address_2": "ROOM 104",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "267-354-1833",
            "fax_number": "267-354-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-998-5200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103613572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sellersville Pharmacy at Penn Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sellersville Pharmacy at Penn Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.