Organization Active NPI

Philarx Pharmacy 5

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1013337682
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482388 Issued in PA
Legal business name
PHILARX PHARMACY 5
Practice address
2400 W Passyunk Ave
Philadelphia, PA 19145-4114
Phone
(267) 928-2149
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Hafiz Ebady
Title
Ceo
Phone
(609) 772-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482388 PA Primary

Addresses

Primary practice location

2400 W Passyunk Ave
Philadelphia, PA 19145-4114

Mailing address

2400 W Passyunk Ave
Philadelphia, PA 19145-4114

Other identifiers 1

IdentifierTypeStateIssuer
2145172OtherPK

Other names 1

  • GoodMeds Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2400 W Passyunk Ave
Philadelphia, PA 19145
Phone (267) 928-2149

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1013337682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454114",
            "telephone_number": "267-928-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILARX PHARMACY 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "EBADY",
        "authorized_official_first_name": "HAFIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-772-1314"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoodMeds 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 May 1, 2014; 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.