Derry Street Pharmacy LLC
NPI 1386126803ActiveOrganization· Pharmacy· Harrisburg, PA
Pharmacy in Harrisburg, Pennsylvania, registered in NPPES in August 2018. The authorized official on file is Raju Katla, RPH, Pharmacy Manager.
Overview
| NPI | 1386126803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2018 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP482814 | PA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PP482814 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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