Provider Demographics
NPI:1336935493
Name:NYRA HOLDINGS, LLC
Entity type:Organization
Organization Name:NYRA HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAXABAHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-298-2828
Mailing Address - Street 1:999 WOODVIEW RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-7646
Mailing Address - Country:US
Mailing Address - Phone:980-298-2828
Mailing Address - Fax:
Practice Address - Street 1:7713 LEAD MINE RD STE 37
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4805
Practice Address - Country:US
Practice Address - Phone:919-844-7939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy