Provider Demographics
NPI:1245105055
Name:MEDSCARE LLC
Entity type:Organization
Organization Name:MEDSCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PRASAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEDAVARAPU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-428-5888
Mailing Address - Street 1:1601 KINGS HWY N STE 400
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2309
Mailing Address - Country:US
Mailing Address - Phone:856-428-5888
Mailing Address - Fax:856-428-5889
Practice Address - Street 1:1601 KINGS HWY N STE 400
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2309
Practice Address - Country:US
Practice Address - Phone:856-428-5888
Practice Address - Fax:856-428-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Multi-Specialty
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatricGroup - Multi-Specialty
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0961094Medicaid