Organization Active NPI

Triple a Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1114987567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP413405L Issued in PA
Legal business name
TRIPLE A PHARMACY
Practice address
702 S 49TH St
Philadelphia, PA 19143-3418
Phone
(215) 724-7507
Fax
(215) 724-5397
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jaime Lynn Robb, RPH
Title
Owner/Pharmacist
Phone
(215) 724-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413405L PA Primary

Addresses

Primary practice location

702 S 49TH St
Philadelphia, PA 19143-3418

Mailing address

702 S 49TH St
Philadelphia, PA 19143-3418
Phone (215) 724-7507

Other identifiers 2

IdentifierTypeStateIssuer
3912563OtherPANABP/NCPDP
0577649MedicaidPA

National Provider Directory

National Provider Directory

Locations

702 S 49th St
Philadelphia, PA 19143
Phone (215) 724-7507

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114987567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433418",
            "telephone_number": "215-724-7507",
            "fax_number": "215-724-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433418",
            "telephone_number": "215-724-7507",
            "fax_number": "215-724-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE A PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "215-724-7507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413405L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "3912563",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577649",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.