Organization Active NPI

Rd Tanya & Ved LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1851826341
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482717 Issued in PA
Legal business name
RD TANYA & VED LLC
Practice address
Healthaid Pharmacy
6604 Frankford Ave
Philadelphia, PA 19135-2509
Phone
(215) 941-8020
NPI assigned
Apr 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mrs. Divya Balumuri
Title
Member
Phone
(215) 941-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482717 PA Primary

Addresses

Primary practice location

Healthaid Pharmacy
6604 Frankford Ave
Philadelphia, PA 19135-2509

Mailing address

Healthaid Pharmacy
6604 Frankford Ave
Philadelphia, PA 19135-2509
Phone (215) 941-8020

Other identifiers 1

IdentifierTypeStateIssuer
PP482717OtherPASTATE PHARMACY LICENSE

Other names 1

  • HealthAid Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190521001431 PA Part B Supplier - Pharmacy 6204179997 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1851826341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTHAID PHARMACY",
            "address_2": "6604 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352509",
            "telephone_number": "215-941-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTHAID PHARMACY",
            "address_2": "6604 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352509",
            "telephone_number": "215-941-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD TANYA & VED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BALUMURI",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-941-8020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PP482717",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthAid Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthAid 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 Apr 18, 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.