Organization Active NPI

Galu Enterprises Inc

Doing business as Philly Pharmacy II

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1144566225
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482144 Issued in PA
Legal business name
GALU ENTERPRISES INC
Doing business as
Philly Pharmacy II
Practice address
9475 Roosevelt Blvd Ste 12
Philadelphia, PA 19114-2212
Phone
(215) 969-5180
Fax
(866) 379-3198
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Mark Lawson
Title
President
Phone
(267) 979-3948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482144 PA Primary

Addresses

Primary practice location

9475 Roosevelt Blvd Ste 12
Philadelphia, PA 19114-2212

Mailing address

9475 Roosevelt Blvd Ste 12
Philadelphia, PA 19114-2212
Phone (215) 969-5180

Other identifiers 1

IdentifierTypeStateIssuer
3998599OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Philly Pharmacy II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Galu Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1144566225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 ROOSEVELT BLVD STE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142212",
            "telephone_number": "215-969-5180",
            "fax_number": "866-379-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 ROOSEVELT BLVD STE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142212",
            "telephone_number": "215-969-5180",
            "fax_number": "866-379-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALU ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-979-3948"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3998599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philly Pharmacy II",
            "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 Jan 7, 2013; 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.