Adiyogi LLC

Key facts

NPI

1942981055

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

ADIYOGI LLC

Practice address

1417 Riverchase Blvd Ste 103
Rock Hill, SC 29732-2493

Phone

(803) 970-6440

Fax

(803) 970-6441

NPI assigned

Jul 31, 2023

Organization subpart

No

Authorized official

Name

Prital N. Mehta, PHARMD NPI 1881017291

Title

Pharmacy Manager

Phone

(480) 297-5589

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prital Mehta, PHARM.D Pharmacist · Rock Hill, SC · NPI 1881017291
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Prime Family Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 10, 2024.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1942981055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 RIVERCHASE BLVD STE 103",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322493",
            "telephone_number": "803-970-6440",
            "fax_number": "803-970-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 RIVERCHASE BLVD STE 103",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322493",
            "telephone_number": "803-970-6440",
            "fax_number": "803-970-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIYOGI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PRITAL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "480-297-5589",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Rock Hill, SC · Community/Retail Pharmacy in South Carolina