Mahant Elkton LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004445 Issued in VA

Legal business name

MAHANT ELKTON LLC

Doing business as

Elkton Family Pharmacy

Practice address

111 S Stuart Ave
Elkton, VA 22827-1525

Phone

(540) 298-9090

Fax

(540) 713-6399

NPI assigned

Feb 22, 2012

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitul Patel, PHARMDNPI 1649882911

Title

Pharmacist - Manager Partner

Phone

(804) 591-5671

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Elkton Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Elkton Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mahant Elkton LLC

  • Long Term Care Pharmacy
  • Elkton, VA
  • NPI 1477423234
  NPD tax ID

Practitioners 2

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.

• Mitul Patel

  • Pharmacist
  • Elkton, VA
  • NPI 1649882911
  NPD Authorized official
• Angela K Brittle, RPH

  • Pharmacist
  • Elkton, VA
  • NPI 1891894507
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1700159696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S STUART AVE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271525",
            "telephone_number": "540-298-9090",
            "fax_number": "540-713-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S STUART AVE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271525",
            "telephone_number": "540-298-9090",
            "fax_number": "540-713-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANT ELKTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITUL",
        "authorized_official_title_or_position": "PHARMACIST - MANAGER PARTNER",
        "authorized_official_telephone_number": "804-591-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004445",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700159696",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkton Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanne Adelle Lambert, LPC
• Thomas Moses Latouche
• Hugh Russell Lee, DPT
• Keith C Long, M.D
• Mahant Elkton LLC
• Ashley Nicole McDorman, FNP-C
• Edward Mikula, PT, DPT
• Daniela Mae-Lynn Morris, FNP-C
• Erin Elizabeth Morris, FNP-BC
• Seth Thomas Morris, PHARMD

• Community/Retail Pharmacy in Elkton, VA
• Providers in Elkton, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.