NPIMap

Organization Active NPI

Acro Pharmaceutical Services LLC.

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1013244979
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP481961 Issued in PA
Legal business name
ACRO PHARMACEUTICAL SERVICES LLC.
Doing business as
GPHA Pharmacy
Practice address
4500 Frankford Ave
Philadelphia, PA 19124-3602
Phone
(215) 743-4106
Fax
(215) 743-4212
NPI assigned
Nov 12, 2009
Organization subpart
Yes
Parent organization
ACRO PHARMACEUTICAL SERVICES LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Raja Shekar Chirra
Title
Vice President
Phone
(215) 837-8392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481961 PA Primary

Addresses

Primary practice location

4500 Frankford Ave
Philadelphia, PA 19124-3602

Mailing address

4500 Frankford Ave
Philadelphia, PA 19124-3602
Phone (215) 743-4106

Other identifiers 2

IdentifierTypeStateIssuer
1010414210001MedicaidPA
5377840001OtherPAMEDICARE ID TYPE UNSPECIFIED

Other names 1

  • GPHA Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acro Pharmaceutical Services LLC3 organizations share this tax ID, including this one
Part of
Acro Pharmaceutical Services LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1013244979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243602",
            "telephone_number": "215-743-4106",
            "fax_number": "215-743-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243602",
            "telephone_number": "215-743-4106",
            "fax_number": "215-743-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACRO PHARMACEUTICAL SERVICES LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACRO PHARMACEUTICAL SERVICES LLC.",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "CHIRRA",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "SHEKAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-837-8392"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010414210001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "5377840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPHA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2009; 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.