Mena LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482411 Issued in PA

Legal business name

MENA LLC

Practice address

101 W Lancaster Ave
Shillington, PA 19607-1857

Phone

(610) 777-2313

Fax

(610) 777-2319

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Dipak PatelNPI 1740670272

Title

President/Owner

Phone

(610) 858-5792

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Shamokin Pharmacy LLC

  • Community/Retail Pharmacy
  • Shamokin, PA
  • NPI 1417319625

  Member Of

  NPD member

Practitioners 1

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

• Dipak Patel

  • Pharmacist
  • Shillington, PA
  • NPI 1740670272
  NPD Authorized official

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1609207299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071857",
            "telephone_number": "610-777-2313",
            "fax_number": "610-777-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071857",
            "telephone_number": "610-777-2313",
            "fax_number": "610-777-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-858-5792"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028904600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manny Esh Respiratory Care, Inc
• Ronald M Martin, DMD
• Pamela Jo Mazza, COTA/L
• Lee McCarty, RPH
• Meghan McIntyre
• Lorissa Mieloch, RPH
• Lois Elaine Miller, RD LDN CDE
• Salvatore Seth Modesto, LSW
• Michael R Mohn, O.D.
• Allison Rachael Nagler, LCSW

• Community/Retail Pharmacy in Shillington, PA
• Providers in Shillington, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.