Healthcare Provider Details

I. General information

NPI: 1831062488
Provider Name (Legal Business Name): PILLPACK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 SOLAR DR STE 100
IMPERIAL PA
15126-3705
US

IV. Provider business mailing address

270 SOLAR DR STE 100
IMPERIAL PA
15126-3705
US

V. Phone/Fax

Practice location:
  • Phone: 855-745-5720
  • Fax: 603-935-9108
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TANVI JAYANTI PATEL
Title or Position: VICE PRESIDENT
Credential:
Phone: 855-745-5725