Organization Active NPI

Edison Square Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1063978104
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EDISON SQUARE PHARMACY
Practice address
601 S 10TH St
Philadelphia, PA 19147-1917
Phone
(267) 534-5856
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Uday Gohel
Title
Manager
Phone
(267) 858-4662

Specialties & licenses 1

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

Addresses

Primary practice location

601 S 10TH St
Philadelphia, PA 19147-1917

Mailing address

601 S 10TH St
Philadelphia, PA 19147-1917
Phone (267) 534-5856

Other names 1

  • QwikScript Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

169 W Lehigh Ave
Philadelphia, PA 19133
Phone (267) 858-4662

701 W Lehigh Ave
Philadelphia, PA 19133
Phone (267) 534-5856

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1063978104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471917",
            "telephone_number": "267-534-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471917",
            "telephone_number": "267-534-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON SQUARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "GOHEL",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-858-4662"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QwikScript 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 Apr 3, 2023; 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.