Organization Active NPI

United RX of Pennsylvania LLC

Doing business as Medcare - RX

  • Long Term Care Pharmacy
  • Folcroft, PA
National Provider Identifier
1508583758
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
UNITED RX OF PENNSYLVANIA LLC
Doing business as
Medcare - RX
Practice address
44 Primos, Independence CT
Bays 15-17
Folcroft, PA 19032
Phone
(215) 844-4500
Fax
(888) 808-5893
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED RX LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mr. Henry Hernandez
Title
Insurance Contracting Representativ
Phone
(708) 375-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

44 Primos, Independence CT
Bays 15-17
Folcroft, PA 19032

Mailing address

44 Primos Ave.
Independence CT Bays 15-17
Folcroft, PA 19032

Other names 1

  • MEDCARE - RX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230525001842 PA Part B Supplier - Pharmacy 2365808813 Practice locations: Folcroft, PA
O20230810002760 PA DME Supplier - Pharmacy 2365808813 Practice locations: Folcroft, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
United RX of Pennsylvania LLC44 Primos Independence CT, Folcroft, PA 19032-2111(215) 844-4500 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Apr 23, 2023

National Provider Directory

National Provider Directory
Part of
United RX LLC

Locations

44 Primos Independence CT
Bays 1517
Folcroft, PA 19032
Phone (215) 844-4500

44 Primos Independence CT
Bays 1517
Folcroft, PA 19032
Phone (215) 844-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1508583758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PRIMOS AVE.",
            "address_2": "INDEPENDENCE CT BAYS 15-17",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "19032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PRIMOS, INDEPENDENCE CT",
            "address_2": "BAYS 15-17",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "19032",
            "telephone_number": "215-844-4500",
            "fax_number": "888-808-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED RX OF PENNSYLVANIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED RX LLC",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING REPRESENTATIV",
        "authorized_official_telephone_number": "708-375-5736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCARE - RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folcroft, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.