Organization Active NPI

Pharmacy of America Inc

Doing business as Pharmacy of America

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1063655389
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481921 Issued in PA
Legal business name
PHARMACY OF AMERICA INC
Doing business as
Pharmacy of America
Practice address
1500 E Erie Ave
Philadelphia, PA 19124-5642
Phone
(215) 289-9500
Fax
(215) 289-9503
NPI assigned
Apr 16, 2009
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Norma Velez
Title
Pharmacy Operation Supervisor
Phone
(215) 744-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481921 PA Primary

Addresses

Primary practice location

1500 E Erie Ave
Philadelphia, PA 19124-5642

Mailing address

4654 N 5TH St
Philadelphia, PA 19140-1420
Phone (215) 744-0030

Other identifiers 1

IdentifierTypeStateIssuer
2120307OtherPK

Other names 1

  • Pharmacy of America Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000743 PA Part B Supplier - Pharmacy 6204986045 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1500 E Erie Ave
Philadelphia, PA 19124
Phone (215) 289-9500

Practitioners & affiliated clinicians

Practitioners 2

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": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1063655389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401420",
            "telephone_number": "215-744-0030",
            "fax_number": "215-744-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245642",
            "telephone_number": "215-289-9500",
            "fax_number": "215-289-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PHARMACY OPERATION SUPERVISOR",
        "authorized_official_telephone_number": "215-744-0300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.