MEDICARE: RAPOPORT RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PP411960L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8094960001	OTHER	PA	MEDICARE NSC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3958444	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1447328687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPOPORT RX INC

Provider Business Mailing Address
First Line	:	6934 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	215-333-1566
Fax Number	:	215-333-8225

Provider Business Practice Location Address
First Line	:	6934 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	215-333-1566
Fax Number	:	215-333-8225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VENUGOPAL NARRAMNENI
Credential	:
Telephone Number	:	215-333-1566

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	12/08/2022

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Directions to “RAPOPORT RX INC ” Practice Location

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