=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992647580
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAKK MEDIX LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2026
-----------------------------------------------------
Last Update Date | 04/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4950 YORK RD
-----------------------------------------------------
City | HOLICONG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18928-5038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-794-8850
-----------------------------------------------------
Fax | 215-794-8872
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 299
-----------------------------------------------------
City | HOLICONG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18928-0299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-794-8850
-----------------------------------------------------
Fax | 215-794-8872
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MAULIK PATEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-794-8850
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------