Organization Active NPI

Care Trust Pharmacy Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1063803724
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARE TRUST PHARMACY INC
Doing business as
Care Trust Pharmacy
Practice address
2534 E Allegheny Ave
Philadelphia, PA 19134-5111
Phone
(267) 471-5532
NPI assigned
Feb 16, 2015
Organization subpart
Yes
Parent organization
CARE TRUST PHARMACY INCAs reported in NPPES

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
Katherine TaingNPI 1053906966
Title
Pharmacy Manager
Phone
(215) 426-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2534 E Allegheny Ave
Philadelphia, PA 19134-5111

Mailing address

2534 E Allegheny Ave
Philadelphia, PA 19134-5111
Phone (267) 471-5532

Other names 1

  • Care Trust Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190514003058 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4880937887 Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2209895Care Trust Pharmacy2534 E Allegheny Ave, Philadelphia, PA 19134Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory
Part of
Care Trust Pharmacy Inc

Locations

2534 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 426-0200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1063803724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345111",
            "telephone_number": "267-471-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345111",
            "telephone_number": "267-471-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TRUST PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE TRUST PHARMACY INC",
        "enumeration_date": "2015-02-16",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "TAING",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-426-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Trust Pharmacy",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.