Ppscare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482293 Issued in PA

Legal business name

PPSCARE PHARMACY LLC

Doing business as

Ppscare Pharmacy

Practice address

106 N Hills Ave
1St Floor
Glenside, PA 19038-1607

Phone

(215) 885-5200

NPI assigned

Jun 28, 2012

Last updated

Aug 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oluwole Williams

Title

RPH

Phone

(215) 884-3126

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ppscare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1033473665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JACKSON AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190381011",
            "telephone_number": "215-884-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N HILLS AVE",
            "address_2": "1ST FLOOR",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190381607",
            "telephone_number": "215-885-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPSCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "OLUWOLE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "215-884-3126"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3997751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ppscare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Glenside, PA
• Providers in Glenside, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.