Organization Active NPI

Couzins Enterprises, LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1164988598
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COUZINS ENTERPRISES, LLC
Doing business as
Patriot Pharmacy
Practice address
2951 N 22ND St
Philadelphia, PA 19132-1505
Phone
(267) 800-7087
Fax
(267) 800-7901
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Shai Fellah
Title
Member
Phone
(267) 800-7087

Specialties & licenses 1

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

Addresses

Primary practice location

2951 N 22ND St
Philadelphia, PA 19132-1505

Mailing address

2951 N 22ND St
Philadelphia, PA 19132-1505
Phone (267) 800-7087

Other names 1

  • Patriot Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2951 N 22nd St
Philadelphia, PA 19132
Phone (267) 314-7675

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1164988598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191321505",
            "telephone_number": "267-800-7087",
            "fax_number": "267-800-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191321505",
            "telephone_number": "267-800-7087",
            "fax_number": "267-800-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUZINS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "FELLAH",
        "authorized_official_first_name": "SHAI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-800-7087"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot 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 Feb 11, 2019; 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.