Rudrakrupa LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29306 Issued in FL

Legal business name

RUDRAKRUPA LLC

Practice address

1812 S Parsons Ave
Unit 104
Seffner, FL 33584-7201

Phone

(727) 698-0097

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dhavalkumar Patel

Title

President

Phone

(813) 685-4444

Specialties & licenses 1

Addresses

Other names 1

• IMED PHARMACY Doing business as

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 2

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

• Gopi Patel

  • Pharmacist
  • Seffner, FL
  • NPI 1013560762
  NPD
• Adam Gardner

  • Pharmacist
  • Seffner, FL
  • NPI 1639658727
  NPD (past)

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1528434404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S PARSONS AVE",
            "address_2": "UNIT 104",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335847201",
            "telephone_number": "813-685-4444",
            "fax_number": "813-685-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S PARSONS AVE",
            "address_2": "UNIT 104",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335847201",
            "telephone_number": "727-698-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRAKRUPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHAVALKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anabel Rivera
• Lizza Michelle Rivera
• Terrence B Robinson, R.PH.
• Beth Rogers, NP
• Amanda Christine Roithmayr
• Rxconnect Pharmacy LLC
• Dayalixy Sanchez Rodriguez
• Joseline Sanchez Rodriguez
• Sandra Sanchez, MSW
• Jamal R. Sanders, MA

• Community/Retail Pharmacy in Seffner, FL
• Providers in Seffner, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.