Healthcare Provider Details

I. General information

NPI: 1649137100
Provider Name (Legal Business Name): PILLPACK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 BERMUDA HUNDRED RD STE 100
CHESTER VA
23836
US

IV. Provider business mailing address

1701 BERMUDA HUNDRED RD STE 100
CHESTER VA
23836
US

V. Phone/Fax

Practice location:
  • Phone: 855-745-5725
  • Fax: 603-935-9108
Mailing address:
  • Phone: 855-745-5725
  • Fax: 603-935-9108

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