Organization Active NPI

Rudrarx LLC

  • Community/Retail Pharmacy
  • Youngsville, NC
National Provider Identifier
1598323776
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RUDRARX LLC
Doing business as
Youngsville Phamacy
Practice address
129 E Main St Ste 300
Youngsville, NC 27596-0169
Phone
(919) 525-9852
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Mr. Umesh Chaudhary, PHARM.D.NPI 1386964211
Title
Pharmacy Manager
Phone
(919) 525-9852

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

129 E Main St Ste 300
Youngsville, NC 27596-0169

Mailing address

105 Hatchet Creek CT
Morrisville, NC 27560-9514
Phone (919) 525-9852

Other names 1

  • Youngsville Phamacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000387 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3476961962 Practice locations: Youngsville, NC

National Provider Directory

National Provider Directory

Locations

129 E Main St
Ste 300
Youngsville, NC 27596
Phone (919) 525-9852

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1598323776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HATCHET CREEK CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609514",
            "telephone_number": "919-525-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST STE 300",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275960169",
            "telephone_number": "919-525-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDRARX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-525-9852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youngsville Phamacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Youngsville Phamacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.