Provider Demographics
NPI:1447328687
Name:RAPOPORT RX INC
Entity type:Organization
Organization Name:RAPOPORT RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VENUGOPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NARRAMNENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-333-1566
Mailing Address - Street 1:6934 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1805
Mailing Address - Country:US
Mailing Address - Phone:215-333-1566
Mailing Address - Fax:215-333-8225
Practice Address - Street 1:6934 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1805
Practice Address - Country:US
Practice Address - Phone:215-333-1566
Practice Address - Fax:215-333-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411960L3336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA8094960001OtherMEDICARE NSC
PA104075890-0001Medicaid
3958444OtherNCPDP PROVIDER IDENTIFICATION NUMBER