Organization Active NPI

Specialty RX PA Holdings LLC

Doing business as Specialty RX Pennsylvania

  • Long Term Care Pharmacy
  • Harrisburg, PA
National Provider Identifier
1528689247
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SPECIALTY RX PA HOLDINGS LLC
Doing business as
Specialty RX Pennsylvania
Practice address
491A Blue Eagle Ave
Harrisburg, PA 17112-2314
Phone
(814) 616-8028
Fax
(086) 344-0389
NPI assigned
May 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Joel Zupnick
Title
Owner
Phone
(908) 241-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

491A Blue Eagle Ave
Harrisburg, PA 17112-2314

Mailing address

2 Bergen Tpke
Ridgefield Park, NJ 07660-2390
Phone (908) 241-6337

Other names 1

  • Specialty RX Pennsylvania Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825001812 PA DME Supplier - Pharmacy 6305209263 Practice locations: Harrisburg, 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
Specialty RX PA Holdings LLC491A Blue Eagle Ave, Harrisburg, PA 17112-2314(814) 616-8028 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Jan 26, 2024

National Provider Directory

National Provider Directory

Locations

5042 Peach St
Erie, PA 16509
Phone (814) 323-3626

491A Blue Eagle Ave
Harrisburg, PA 17112
Phone (717) 651-9996

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": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1528689247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERGEN TPKE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602390",
            "telephone_number": "908-241-6337",
            "fax_number": "908-634-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491A BLUE EAGLE AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122314",
            "telephone_number": "814-616-8028",
            "fax_number": "086-344-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY RX PA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ZUPNICK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-241-6337"
    },
    "taxonomies": [
        {
            "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty RX Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.