Healthcare Provider Details

I. General information

NPI: 1245105055
Provider Name (Legal Business Name): MEDSCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 KINGS HWY N STE 400
CHERRY HILL NJ
08034-2309
US

IV. Provider business mailing address

1601 KINGS HWY N STE 400
CHERRY HILL NJ
08034-2309
US

V. Phone/Fax

Practice location:
  • Phone: 856-428-5888
  • Fax: 856-428-5889
Mailing address:
  • Phone: 856-428-5888
  • Fax: 856-428-5889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PRASAD R MEDAVARAPU
Title or Position: MEMBER
Credential:
Phone: 856-428-5888