NPIMap

Organization Active NPI

Luxbury Ventures LLC

  • Long Term Care Pharmacy
  • Reading, PA
National Provider Identifier
1518745280
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LUXBURY VENTURES LLC
Practice address
440 Lehigh St
Reading, PA 19601-1750
Phone
(484) 663-5760
Fax
(610) 378-9000
NPI assigned
Sep 14, 2023
Organization subpart
Yes
Parent organization
LUXBURY VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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

Authorized official

Name
Fadeke H SalakoNPI 1770702128
Title
Pharmacy Owner/Manager
Phone
(484) 663-5760

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 1

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

Addresses

Primary practice location

440 Lehigh St
Reading, PA 19601-1750

Mailing address

422 Augusta Dr E
Reading, PA 19608-2128
Phone (484) 794-7272

Other identifiers 1

IdentifierTypeStateIssuer
1028072400001MedicaidPA

Other names 2

  • OAKSIDE CARE PHARAMCY Doing business as
  • oakside care pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luxbury Ventures LLC2 organizations share this tax ID, including this one
Part of
Luxbury Ventures LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696118400000",
    "number": "1518745280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 AUGUSTA DR E",
            "city": "READING",
            "state": "PA",
            "postal_code": "196082128",
            "telephone_number": "484-794-7272",
            "fax_number": "610-378-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LEHIGH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011750",
            "telephone_number": "484-663-5760",
            "fax_number": "610-378-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXBURY VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUXBURY VENTURES, LLC",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "FADEKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACY OWNER/MANAGER",
        "authorized_official_telephone_number": "484-663-5760"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028072400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKSIDE CARE PHARAMCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "oakside care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.