Healthcare Provider Details

I. General information

NPI: 1942767025
Provider Name (Legal Business Name): NCSPHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E MAIN ST
LITITZ PA
17543-2010
US

IV. Provider business mailing address

PO BOX 283
LITITZ PA
17543-0283
US

V. Phone/Fax

Practice location:
  • Phone: 717-626-2222
  • Fax: 717-626-7920
Mailing address:
  • Phone: 732-986-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier103608429
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: CHETAN PATEL
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 717-626-2222