Provider Demographics
NPI:1053638767
Name:RRAPI, ERVIS
Entity type:Individual
Prefix:
First Name:ERVIS
Middle Name:
Last Name:RRAPI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ERVIS
Other - Middle Name:
Other - Last Name:RRAPI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1890 AUTUMN LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1526
Mailing Address - Country:US
Mailing Address - Phone:267-344-7646
Mailing Address - Fax:
Practice Address - Street 1:6501 HARBISON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2912
Practice Address - Country:US
Practice Address - Phone:215-333-4300
Practice Address - Fax:215-333-3898
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist