Active NPI
Nyka LLC
- Community/Retail Pharmacy
- Pottstown, PA
National Provider Identifier
1811992142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP410130L
- Legal business name
- NYKA LLC
- Practice address
- 920 N Charlotte St
Pottstown, PA 19464-3959 - Phone
- (610) 323-2115
- Fax
- (610) 323-2334
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lokesh J Patel, RPH
- Title
- Pharmacist/Owner
- Phone
- (610) 323-2115
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP410130L | PA | Primary |
Addresses
Primary practice location
920 N Charlotte St
Pottstown, PA 19464-3959
Mailing address
920 N Charlotte St
Pottstown, PA 19464-3959
Phone (610) 323-2115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104319430-0001 | Medicaid | PA |
Other names 1
- Professional Pharmacy & Convalescent Products
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240712000540 | PA | Part B Supplier - Pharmacy | 4082159215 | Practice locations: Pottstown, PA |
| O20250212000650 | PA | DME Supplier - Pharmacy | 4082159215 | Practice locations: Pottstown, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Nyka LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pottstown, PA
- NPI 1699504001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Langhorne, PA
- NPI 1669795712
-
- Physical Therapist
- Renton, WA
- NPI 1205752953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1811992142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N CHARLOTTE ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643959",
"telephone_number": "610-323-2115",
"fax_number": "610-323-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N CHARLOTTE ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643959",
"telephone_number": "610-323-2115",
"fax_number": "610-323-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYKA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "LOKESH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "610-323-2115",
"authorized_official_credential": "RPH"
},
"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": "PA",
"license": "PP410130L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104319430-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Pharmacy & Convalescent Products",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.