Organization Active NPI

Care Options RX LLC

Doing business as Care Options RX

  • Long Term Care Pharmacy
  • Mount Holly Springs, PA
National Provider Identifier
1932201860
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP414616L Issued in PA
Legal business name
CARE OPTIONS RX LLC
Doing business as
Care Options RX
Practice address
219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204
Phone
(717) 486-8606
Fax
(717) 486-4410
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Bryan R Gobin
Title
Ceo
Phone
(717) 514-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PP414616L PA Primary

Addresses

Primary practice location

219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204

Mailing address

219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204
Phone (717) 486-8606

Other identifiers 1

IdentifierTypeStateIssuer
1038107870001MedicaidPA

Other names 1

  • CARE OPTIONS RX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20130109000155 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3173642014 Practice locations: Mount Holly Springs, PA
O20191029001310 PA DME Supplier - Pharmacy 9931431764 Practice locations: Mount Holly Springs, PA
O20200805000515 PA Part B Supplier - Pharmacy 9931431764 Practice locations: Mount Holly Springs, PA
O20200817000957 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9931431764 Practice locations: Mount Holly Springs, PA

National Provider Directory

National Provider Directory
Tax ID family
Care Options RX3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Bursca Dr
Ste 805
Bridgeville, PA 15017
Phone (412) 257-2838

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1932201860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651204",
            "telephone_number": "717-486-8606",
            "fax_number": "717-486-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651204",
            "telephone_number": "717-486-8606",
            "fax_number": "717-486-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OPTIONS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-09-06",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-514-7255"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP414616L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038107870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE OPTIONS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Holly Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.