Organization Active NPI

Zevin'S Drug Store, Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1174629000
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412990L Issued in PA
Legal business name
ZEVIN'S DRUG STORE, INC.
Practice address
800 McKean St
Philadelphia, PA 19148-2342
Phone
(215) 468-0622
Fax
(215) 468-0175
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mr. Charles David Kerchusky, R.PH.NPI 1316024474
Title
Pharmacy Manager
Phone
(215) 468-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412990L PA Primary

Addresses

Primary practice location

800 McKean St
Philadelphia, PA 19148-2342

Mailing address

800 McKean St
Philadelphia, PA 19148-2342
Phone (215) 468-0622

Other identifiers 1

IdentifierTypeStateIssuer
3907637OtherPANCPDP/NABP NUMBER

National Provider Directory

National Provider Directory

Locations

800 McKean St
Philadelphia, PA 19148
Phone (215) 468-0622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1174629000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482342",
            "telephone_number": "215-468-0622",
            "fax_number": "215-468-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482342",
            "telephone_number": "215-468-0622",
            "fax_number": "215-468-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEVIN'S DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KERCHUSKY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-468-0622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412990L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP NUMBER",
            "identifier": "3907637",
            "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 Feb 19, 2008; 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.