Organization Active NPI

Dharm Nandan LLC

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1750926119
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DHARM NANDAN LLC
Doing business as
Morrell Park Pharmacy
Practice address
3808 Morrell Ave
Philadelphia, PA 19114-1915
Phone
(267) 329-4900
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Pankil Rajanikant Patel, PHARM.DNPI 1992119374
Title
Pharmacy Manager
Phone
(267) 329-4900

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

3808 Morrell Ave
Philadelphia, PA 19114-1915

Mailing address

107 August LN
Lansdale, PA 19446-6715
Phone (267) 329-4900

Other names 1

  • Morrell Park Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200828002044 PA Part B Supplier - Pharmacy 9537586037 Practice locations: Philadelphia, PA
O20210714003313 PA DME Supplier - Pharmacy 9537586037 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Dharm Nandan LLC2 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.

Locations

3808 Morrell Ave
Philadelphia, PA 19114
Phone (267) 329-4900

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1750926119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 AUGUST LN",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466715",
            "telephone_number": "267-329-4900",
            "fax_number": "267-329-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141915",
            "telephone_number": "267-329-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHARM NANDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PANKIL",
        "authorized_official_middle_name": "RAJANIKANT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "267-329-4900",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrell Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.