Provider Demographics
NPI:1033540349
Name:RATNAKAR RX LLC
Entity Type:Organization
Organization Name:RATNAKAR RX LLC
Other - Org Name:YORK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:513-732-2503
Mailing Address - Street 1:220 WEST MAIN STREET
Mailing Address - Street 2:P O BOX 849
Mailing Address - City:OWENSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45160
Mailing Address - Country:US
Mailing Address - Phone:513-732-2503
Mailing Address - Fax:513-732-5591
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45160
Practice Address - Country:US
Practice Address - Phone:513-732-2503
Practice Address - Fax:513-732-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0223651503336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143527OtherPK
OH0095293Medicaid