Individual provider Active NPI

George Strock, PHARMD

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1053781724
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443990 Issued in PA
Practice address
249 S 13TH St
Philadelphia, PA 19107-5640
Phone
(844) 657-6786
Fax
(267) 324-3594
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443990 PA Primary
Pharmacist 183500000X RPI001729 PA

Addresses

Primary practice location

249 S 13TH St
Philadelphia, PA 19107-5640

Mailing address

249 S 13TH St
Philadelphia, PA 19107-5640
Phone (844) 657-6786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP443990PAMDPharmacist
RPI001729PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CCN America LP CurrentSince Feb 1, 2022 Accepting new patients
Acme Markets Inc Past Accepting new patients
Acme Markets Inc Past Accepting new patients
CCN America, LP PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1053781724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075640",
            "telephone_number": "844-657-6786",
            "fax_number": "267-324-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075640",
            "telephone_number": "844-657-6786",
            "fax_number": "267-324-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROCK",
        "first_name": "GEORGE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443990",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI001729",
            "primary": false
        }
    ],
    "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 Jan 26, 2022; 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.