Organization Active NPI

Prajal RX LLC

  • Community/Retail Pharmacy
  • Hatboro, PA
National Provider Identifier
1609246727
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482604 Issued in PA
Legal business name
PRAJAL RX LLC
Doing business as
PHARMACY OF HATBORO
Practice address
420 S York Rd Ste D
Hatboro, PA 19040-3970
Phone
(215) 443-9999
Fax
(215) 442-9999
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Dhrupal Patel
Title
Officer
Phone
(215) 443-9999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482604 PA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

420 S York Rd Ste D
Hatboro, PA 19040-3970

Mailing address

420 S York Rd Ste D
Hatboro, PA 19040-3970
Phone (215) 443-9999

Other identifiers 1

IdentifierTypeStateIssuer
104007639-0001MedicaidPA

Other names 1

  • PHARMACY OF HATBORO Doing business as

National Provider Directory

National Provider Directory

Locations

420 S York Rd
Ste D
Hatboro, PA 19040
Phone (215) 443-9999

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": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1609246727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S YORK RD STE D",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403970",
            "telephone_number": "215-443-9999",
            "fax_number": "215-442-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S YORK RD STE D",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403970",
            "telephone_number": "215-443-9999",
            "fax_number": "215-442-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAJAL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHRUPAL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "215-443-9999"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482604",
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104007639-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY OF HATBORO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.