Organization Active NPI

Friendly Pharmacy, L.P.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1053381749
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FRIENDLY PHARMACY, L.P.
Practice address
2258 N Front St
Philadelphia, PA 19133-3714
Phone
(215) 425-5230
NPI assigned
Jan 25, 2006
Last updated
Oct 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Authorized official

Name
Mr. Randal Mathew Policare, RPH
Title
Vice President
Phone
(215) 425-5230

Specialties & licenses 1

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

Addresses

Primary practice location

2258 N Front St
Philadelphia, PA 19133-3714

Mailing address

2258 N Front St
Philadelphia, PA 19133-3714
Phone (215) 425-5230

Other identifiers 3

IdentifierTypeStateIssuer
3963166OtherPANCPDP
PP414506LOtherPAPHARMACY PERMIT
1007474100003MedicaidPA

National Provider Directory

National Provider Directory

Locations

2258 N Front St
Philadelphia, PA 19133
Phone (215) 425-5230

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697328000000",
    "number": "1053381749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333714",
            "telephone_number": "215-425-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333714",
            "telephone_number": "215-425-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY PHARMACY, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "POLICARE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-425-5230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3963166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PP414506L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007474100003",
            "state": "PA"
        }
    ],
    "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 Oct 15, 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.