Organization Active NPI

MDS RX LLC

  • Long Term Care Pharmacy
  • Beaver, PA
National Provider Identifier
1871068833
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MDS RX LLC
Practice address
246 Friendship Cir
Beaver, PA 15009-9704
Phone
(212) 203-7787
NPI assigned
Oct 5, 2018
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Mr. Binyamin Greenberg
Title
Member
Phone
(724) 512-8767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

246 Friendship Cir
Beaver, PA 15009-9704

Mailing address

246 Friendship Cir
Beaver, PA 15009-9704
Phone (724) 512-8767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190418001842 PA Part B Supplier - Pharmacy 1254672330 Practice locations: Beaver, 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": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1871068833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FRIENDSHIP CIR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099704",
            "telephone_number": "724-512-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FRIENDSHIP CIR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099704",
            "telephone_number": "212-203-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-06-15",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "BINYAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "724-512-8767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.