Organization Active NPI

Lombard Apothecary Inc

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1033116702
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP481188L Issued in PA
Legal business name
LOMBARD APOTHECARY INC
Doing business as
LOMBARD APOTHECARY
Practice address
1745 South St
Philadelphia, PA 19146-1528
Phone
(215) 732-7888
Fax
(215) 732-9772
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
George Haynes
Title
Pharmacist
Phone
(215) 732-7888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481188L PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1745 South St
Philadelphia, PA 19146-1528

Mailing address

PO Box 7908
Philadelphia, PA 19101-7908
Phone (215) 732-7888

Other identifiers 6

IdentifierTypeStateIssuer
PP411697LOtherPAPA PHARMACY LICENSE
1019565950001MedicaidPA
3000008269OtherPAPA DRUG & DEVICE REGISTRATION - DISTRIBUTOR
8000001938OtherPAPA DRUG & DEVICE LICENSE - WHOLESALER/DISTRIBUTOR
84136809OtherPAPA SALES TAX LICENSE
3981075OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • LOMBARD APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

1745 South St
Philadelphia, PA 19146
Phone (215) 732-7888

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033116702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7908",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191017908",
            "telephone_number": "215-732-7888",
            "fax_number": "215-732-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461528",
            "telephone_number": "215-732-7888",
            "fax_number": "215-732-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMBARD APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-732-7888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481188L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PHARMACY LICENSE",
            "identifier": "PP411697L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019565950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DRUG & DEVICE REGISTRATION - DISTRIBUTOR",
            "identifier": "3000008269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DRUG & DEVICE LICENSE - WHOLESALER/DISTRIBUTOR",
            "identifier": "8000001938",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA SALES TAX LICENSE",
            "identifier": "84136809",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3981075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOMBARD APOTHECARY",
            "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 Mar 7, 2023; 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.