Active NPI
George Strock, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1053781724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP443990
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP443990 | PA | MD | Pharmacist |
| RPI001729 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCN America LP | Current | Accepting new patients | |
| Acme Markets Inc | Past | Accepting new patients | |
| Acme Markets Inc | Past | Accepting new patients | |
| CCN America, LP | Past | 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.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1003214214
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1073569570
-
- Specialty Pharmacy
- Philadelphia, PA
- NPI 1043125222
-
- Community/Retail Pharmacy
- Patterson, NY
- NPI 1376900290
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.