Express Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482350 Issued in PA

Legal business name

EXPRESS CARE PHARMACY LLC

Doing business as

Express Care Pharmacy

Practice address

1727 W Liberty St
Unit 2
Allentown, PA 18104-5027

Phone

(610) 351-2273

Fax

(610) 351-2274

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Mahesh PaladuguNPI 1447578133

Title

President

Phone

(610) 351-2273

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• EXPRESS CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Express Care Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Express Care Pharmacy LLC

  dba Express Care Pharmacy

  • Long Term Care Pharmacy
  • Allentown, PA
  • NPI 1700500519
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Express Care Pharmacy LLC

  dba Express Care Pharmacy

  • Long Term Care Pharmacy
  • Allentown, PA
  • NPI 1700500519
  NPPES parent name

Practitioners 5

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

• Mahesh Paladugu, RPH

  • Pharmacist
  • Allentown, PA
  • NPI 1447578133
  NPD (past) Authorized official
• William Boorse, PHARMACIST

  • Pharmacist
  • Allentown, PA
  • NPI 1588152169
  NPD (past)
• Amerina Danielle Lee, PHARMD

  • Pharmacist
  • Allentown, PA
  • NPI 1942086475
  NPD (past)
• Meghan Paul

  • Pharmacist
  • Allentown, PA
  • NPI 1093360513
  NPD (past)
• Anne Varughese, RPH

  • Pharmacist
  • Allentown, PA
  • NPI 1912562893
  NPD (past)

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1982942512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 W LIBERTY ST",
            "address_2": "UNIT 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045027",
            "telephone_number": "610-351-2273",
            "fax_number": "610-351-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 W LIBERTY ST",
            "address_2": "UNIT 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045027",
            "telephone_number": "610-351-2273",
            "fax_number": "610-351-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-351-2273"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482350",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102790868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXPRESS CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Allentown, PA
• Providers in Allentown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.