Organization Active NPI

Odu Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1003253774
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482383 Issued in PA
Legal business name
ODU PHARMACY
Practice address
1618 W Olney Ave
Philadelphia, PA 19141-1713
Phone
(267) 297-5056
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Israel Ogunleye
Title
Pharmacist
Phone
(267) 297-5279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482383 PA Primary

Addresses

Primary practice location

1618 W Olney Ave
Philadelphia, PA 19141-1713

Mailing address

1618 W Olney Ave
Philadelphia, PA 19141-1713

National Provider Directory

National Provider Directory

Locations

1618 W Olney Ave
Philadelphia, PA 19141
Phone (267) 297-5056

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1003253774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 W OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 W OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411713",
            "telephone_number": "267-297-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODU PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "267-297-5279"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.