Organization Active NPI

Pramukh Krupa RX LLC

  • Community/Retail Pharmacy
  • Wesley Chapel, FL
National Provider Identifier
1669728176
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26270 Issued in FL
Legal business name
PRAMUKH KRUPA RX LLC
Practice address
27432 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6916
Phone
(813) 667-6100
Fax
(813) 667-6200
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Manankumar PatelNPI 1124382460
Title
Pharmacy Department Manager
Phone
(813) 667-6100

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 PH26270 FL Primary

Addresses

Primary practice location

27432 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6916

Mailing address

27432 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6916
Phone (813) 667-6100

Other identifiers 2

IdentifierTypeStateIssuer
5711292OtherNCPDP PROVIDER IDENTIFICATION NUMBER
006306100MedicaidFL

Other names 1

  • Summergate Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200825003361 FL Part B Supplier - Pharmacy 7214354133 Practice locations: Wesley Chapel, FL
O20210202001575 FL Part B Supplier - Independent Clinical Laboratory 7214354133 Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

27432 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 667-6100

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1669728176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27432 CASHFORD CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446916",
            "telephone_number": "813-667-6100",
            "fax_number": "813-667-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27432 CASHFORD CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446916",
            "telephone_number": "813-667-6100",
            "fax_number": "813-667-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH KRUPA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANANKUMAR",
        "authorized_official_title_or_position": "PHARMACY DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "813-667-6100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5711292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006306100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summergate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.