Provider Demographics
NPI:1134470339
Name:SAHAJANAND HEALTHCARE INC
Entity Type:Organization
Organization Name:SAHAJANAND HEALTHCARE INC
Other - Org Name:APEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIVYESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-338-5100
Mailing Address - Street 1:7200 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1011
Mailing Address - Country:US
Mailing Address - Phone:215-338-5100
Mailing Address - Fax:215-338-5105
Practice Address - Street 1:7200 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1011
Practice Address - Country:US
Practice Address - Phone:215-338-5100
Practice Address - Fax:215-338-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4823313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137144OtherPK
PA1027908120001Medicaid
7275770001Medicare NSC