Organization Active NPI

PKP Health LLC

Doing business as Phoenixville Pharmacy & Compounding

  • Community/Retail Pharmacy
  • Phoenixville, PA
National Provider Identifier
1811710759
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PKP HEALTH LLC
Doing business as
Phoenixville Pharmacy & Compounding
Practice address
420 Schuylkill Rd Ste 200
Phoenixville, PA 19460-5219
Phone
(610) 482-0060
NPI assigned
Nov 7, 2024
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Mr. Krish A Patel, PHARMDNPI 1184224354
Title
Pharmacy Manager
Phone
(610) 482-0060

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
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

420 Schuylkill Rd Ste 200
Phoenixville, PA 19460-5219

Mailing address

420 Schuylkill Rd Ste 200
Phoenixville, PA 19460-5219
Phone (610) 482-0060

Other identifiers 1

IdentifierTypeStateIssuer
104417913-0001MedicaidPA

Other names 1

  • Phoenixville Pharmacy & Compounding Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519000263 PA Part B Supplier - Pharmacy 8123546744 Practice locations: Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

420 Schuylkill Rd
Ste 200
Phoenixville, PA 19460
Phone (610) 482-0060

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": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1811710759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SCHUYLKILL RD STE 200",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605219",
            "telephone_number": "610-482-0060",
            "fax_number": "610-482-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SCHUYLKILL RD STE 200",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605219",
            "telephone_number": "610-482-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKP HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "610-482-0060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104417913-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenixville Pharmacy & Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.