Active NPI
Lombard Apothecary Inc
- Pharmacy
- Philadelphia, PA
National Provider Identifier
1033116702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP481188L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP411697L | Other | PA | PA PHARMACY LICENSE |
| 1019565950001 | Medicaid | PA | |
| 3000008269 | Other | PA | PA DRUG & DEVICE REGISTRATION - DISTRIBUTOR |
| 8000001938 | Other | PA | PA DRUG & DEVICE LICENSE - WHOLESALER/DISTRIBUTOR |
| 84136809 | Other | PA | PA SALES TAX LICENSE |
| 3981075 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- LOMBARD APOTHECARY
National Provider Directory
National Provider DirectoryLocations
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.