Pramukh Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482677 Issued in PA

Legal business name

PRAMUKH PHARMACY LLC

Practice address

810 Oley St Ste G2
Reading, PA 19604-2546

Phone

(484) 577-4408

Fax

(484) 509-2919

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Pragnesh Patel

Title

President

Phone

(904) 673-0588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pagoda Pharmacy Doing business as

Locations

Practitioners 1

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

• Shyamal Harshadkumar Patel, PHARMD

  • Pharmacist
  • Reading, PA
  • NPI 1730608613
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1609324086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CENTRE AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011458",
            "telephone_number": "610-236-0911",
            "fax_number": "610-236-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 OLEY ST STE G2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196042546",
            "telephone_number": "484-577-4408",
            "fax_number": "484-509-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-673-0588"
    },
    "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": "PP482677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagoda Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bridget Elizabeth Price, FNP
• Jared Austin Price, PT,DPT

• Community/Retail Pharmacy in Reading, PA
• Providers in Reading, 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 Jan 20, 2017; 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.