Active NPI
Goodheart Pharmacy
- Health Maintenance Organization
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- PP482140
- Legal business name
- GOODHEART PHARMACY
- Practice address
- 4835 Woodland Ave
Philadelphia, PA 19143-4433 - Phone
- (215) 724-3300
- Fax
- (215) 724-3301
- NPI assigned
- Apr 9, 2015
- Last updated
- Apr 9, 2015
- 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
- Obioma Aguocha
- Title
- Pharmacist
- Phone
- (215) 724-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | PP482140 | PA | Primary |
Addresses
Primary practice location
4835 Woodland Ave
Philadelphia, PA 19143-4433
Mailing address
4835 Woodland Ave
Philadelphia, PA 19143-4433
National Provider Directory
National Provider Directory- Tax ID family
- Goodheart Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1659665271
Locations
4835 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Upper Chichester, PA
- NPI 1528660537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1033505730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191434433",
"fax_number": "215-724-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191434433",
"telephone_number": "215-724-3300",
"fax_number": "215-724-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODHEART PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "AGUOCHA",
"authorized_official_first_name": "OBIOMA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "215-724-3300"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "PA",
"license": "PP482140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.