Organization Active NPI

Makefield Town Pharmacy LLC

Doing business as Makefield Town Pharmacy

  • Community/Retail Pharmacy
  • Yardley, PA
National Provider Identifier
1003193228
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482212 Issued in PA
Legal business name
MAKEFIELD TOWN PHARMACY LLC
Doing business as
Makefield Town Pharmacy
Practice address
99 Makefield Rd
Yardley, PA 19067-5943
Phone
(215) 295-5300
Fax
(215) 295-5301
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ilhama AnzabiNPI 1508432543
Title
Pharmacy President
Phone
(267) 210-9795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482212 PA Primary

Addresses

Primary practice location

99 Makefield Rd
Yardley, PA 19067-5943

Mailing address

1582 Clark Dr
Yardley, PA 19067-4375
Phone (267) 210-9795

Other identifiers 1

IdentifierTypeStateIssuer
3996420OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Makefield Town Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

99 Makefield Rd
Yardley, PA 19067
Phone (215) 295-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1003193228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 CLARK DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674375",
            "telephone_number": "267-210-9795",
            "fax_number": "215-295-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAKEFIELD RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675943",
            "telephone_number": "215-295-5300",
            "fax_number": "215-295-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKEFIELD TOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "ANZABI",
        "authorized_official_first_name": "ILHAMA",
        "authorized_official_title_or_position": "PHARMACY PRESIDENT",
        "authorized_official_telephone_number": "267-210-9795"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3996420",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makefield Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.