1639545106 NPI number — CAREPOINT RX LLC

Table of content: (NPI 1639545106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639545106 NPI number — CAREPOINT RX LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAREPOINT RX LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAREPOINT RX
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639545106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3070 BRISTOL PIKE
Provider Second Line Business Mailing Address:
BLDG 2, STE 216A
Provider Business Mailing Address City Name:
BENSALEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19020-5364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-463-4848
Provider Business Mailing Address Fax Number:
267-463-4849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3070 BRISTOL PIKE
Provider Second Line Business Practice Location Address:
BLDG 2, STE 216A
Provider Business Practice Location Address City Name:
BENSALEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19020-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-463-4848
Provider Business Practice Location Address Fax Number:
267-463-4849
Provider Enumeration Date:
08/19/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RUZIC
Authorized Official First Name:
MARIJA
Authorized Official Middle Name:
Authorized Official Title or Position:
PIC
Authorized Official Telephone Number:
267-463-4848

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  A9-0001982 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PP482579 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 0214001807 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 034734 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 28RO00133500 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PH29979 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 0003236 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X , with the licence number: P07093 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2153532 . This is a "PK" identifier . This identifiers is of the category "OTHER".