Organization Active NPI

Healthcure LLC

Doing business as Parkwood Street Road Pharmacy

  • Community/Retail Pharmacy
  • Bensalem, PA
National Provider Identifier
1679662076
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411780L Issued in PA
Legal business name
HEALTHCURE LLC
Doing business as
Parkwood Street Road Pharmacy
Practice address
3532 Street Rd
Bensalem, PA 19020-1658
Phone
(215) 639-1950
Fax
(215) 639-6267
NPI assigned
Oct 12, 2006
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Ravin D Patel, RPHNPI 1609158807
Title
Managing Partner
Phone
(215) 876-7128

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411780L PA Primary

Addresses

Primary practice location

3532 Street Rd
Bensalem, PA 19020-1658

Mailing address

3532 Street Rd
Bensalem, PA 19020-1658
Phone (215) 639-1950

Other identifiers 2

IdentifierTypeStateIssuer
0019725960002MedicaidPA
2078787OtherPK

Other names 1

  • Parkwood Street Road Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.streetrdpharmacy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210625000502 PA Part B Supplier - Pharmacy 6406257609 Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Locations

3532 Street Rd
Cornwells Heights, PA 19020
Phone (215) 631-1950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1679662076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201658",
            "telephone_number": "215-639-1950",
            "fax_number": "215-639-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201658",
            "telephone_number": "215-639-1950",
            "fax_number": "215-639-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "215-876-7128",
        "authorized_official_credential": "RPH"
    },
    "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": "PP411780L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019725960002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078787",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.streetrdpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3532 Street Rd",
            "city": "Bensalem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190201658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkwood Street Road Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.