Active NPI
Care Options RX LLC
Doing business as Care Options RX
- Long Term Care Pharmacy
- Mount Holly Springs, PA
National Provider Identifier
1932201860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP414616L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1038107870001 | Medicaid | PA |
Other names 1
- CARE OPTIONS RX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 RX
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.