Organization Active NPI

Gilead Pharmacy Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1154827103
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482775 Issued in PA
Legal business name
GILEAD PHARMACY INC
Doing business as
GILEAD PHARMACY
Practice address
1226 N 52ND St FL 1
Philadelphia, PA 19131-4315
Phone
(267) 713-7066
Fax
(215) 921-2708
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Foluke Oduseun
Title
Store MGR, Ao
Phone
(267) 439-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482775 PA Primary

Addresses

Primary practice location

1226 N 52ND St FL 1
Philadelphia, PA 19131-4315

Mailing address

1226 N 52ND St. FL 1
Philadelphia, PA 19131-4315
Phone (267) 713-7066

Other identifiers 1

IdentifierTypeStateIssuer
2176474OtherPK

Other names 1

  • GILEAD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1226 N 52nd St
Fl 1
Philadelphia, PA 19131
Phone (267) 713-7066

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1154827103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N 52ND ST. FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314315",
            "telephone_number": "267-713-7066",
            "fax_number": "215-921-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N 52ND ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314315",
            "telephone_number": "267-713-7066",
            "fax_number": "215-921-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ODUSEUN",
        "authorized_official_first_name": "FOLUKE",
        "authorized_official_title_or_position": "STORE MGR, AO",
        "authorized_official_telephone_number": "267-439-8292"
    },
    "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": "PP482775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILEAD 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 Jul 19, 2018; 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.