Philly Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481945 Issued in PA

Legal business name

PHILLY PHARMACY LLC

Doing business as

Philly Pharmacy

Practice address

210 Market St
Philadelphia, PA 19106-2805

Phone

(215) 625-6668

Fax

(888) 364-8994

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Edward Garcia

Title

Director of Pharmacy

Phone

(215) 625-6668

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Philly Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Curry

  • Compounding Pharmacy
  • Philadelphia, PA
  • NPI 1063930592
  NPD (past)
• Abigail Onley

  • Pharmacist
  • Philadelphia, PA
  • NPI 1164939922
  NPD (past)
• Douglas L Smith, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1174823231
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1053646372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062805",
            "telephone_number": "215-625-6668",
            "fax_number": "888-364-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062805",
            "telephone_number": "215-625-6668",
            "fax_number": "888-364-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "215-625-6668"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023827480001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3992698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philly Kids 'N Nurses
• Philly Medical and Rehab Associates
• Philly Metro Pharmacy LLC (philly metro pharmacy)
• Philly Newlife Suboxone Clinics
• Philly Pharmacy II, LLC (Philly Pharmacy)
• Philly Pregnancy Center PC
• Philly Psychology LLC
• Philly Speech and Language LLC
• Philly Speech and Language Therapy Inc.
• Philly Spine Center Incorporated

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, 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 Feb 27, 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.