Active NPI
Mena LLC
- Long Term Care Pharmacy
- Reading, PA
National Provider Identifier
1639700156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MENA LLC
- Practice address
- 101 W Lancaster Ave
Reading, PA 19607-1804 - Phone
- (610) 858-5792
- Fax
- (610) 858-5792
- NPI assigned
- Feb 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dipak Patel
- Title
- Owner
- Phone
- (610) 777-2313
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
101 W Lancaster Ave
Reading, PA 19607-1804
Mailing address
101 W Lancaster Ave
Reading, PA 19607-1804
Phone (610) 858-5792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028904600001 | Medicaid | PA |
Other names 1
- The Medicine Shoppe Long Term Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Shillington, PA
- NPI 1740670272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1639700156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W LANCASTER AVE",
"city": "READING",
"state": "PA",
"postal_code": "196071804",
"telephone_number": "610-858-5792",
"fax_number": "610-858-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W LANCASTER AVE",
"city": "READING",
"state": "PA",
"postal_code": "196071804",
"telephone_number": "610-858-5792",
"fax_number": "610-858-5792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-03",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DIPAK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-777-2313"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028904600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Medicine Shoppe Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.