Mayfair Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481504 Issued in PA

Legal business name

MAYFAIR DRUG STORE INC

Doing business as

Mayfair Drug Store

Practice address

7522 Frankford Ave
Philadelphia, PA 19136-3533

Phone

(215) 338-2626

Fax

(215) 338-5209

NPI assigned

Feb 4, 2006

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Pristas

Title

Pharmacist

Phone

(215) 338-2626

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MAYFAIR DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1114999042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363533",
            "telephone_number": "215-338-2626",
            "fax_number": "215-338-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363533",
            "telephone_number": "215-338-2626",
            "fax_number": "215-338-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-04",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "PRISTAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-338-2626"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014416570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3985085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYFAIR DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mayfair Eye Associates, PC
• Mayfair Family Chiropractic Center Inc.
• Mayfair Operator LLC (Roosevelt Rehabilitation and Healthcare Center)
• Mayfair Pain Therapy Center PC
• Mayfair Professional Office, PC

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.