Organization Active NPI

Buena Salud Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1184081390
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BUENA SALUD PHARMACY
Practice address
3119 Frankford Ave
Philadelphia, PA 19134-3820
Phone
(215) 426-5181
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Obianuju Uzoma Allen-MyahwegiNPI 1851669493
Title
Pharmacist
Phone
(215) 426-5181

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 Primary

Addresses

Primary practice location

3119 Frankford Ave
Philadelphia, PA 19134-3820

Mailing address

3119 Frankford Ave
Philadelphia, PA 19134-3820
Phone (215) 426-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411000665 PA Part B Supplier - Pharmacy 6002192838 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

3119 Frankford Ave
#1
Philadelphia, PA 19134
Phone (215) 426-5181

3119 Frankford Ave
Philadelphia, PA 19134
Phone (215) 426-5181

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": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1184081390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343820",
            "telephone_number": "215-426-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343820",
            "telephone_number": "215-426-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA SALUD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN-MYAHWEGI",
        "authorized_official_first_name": "OBIANUJU",
        "authorized_official_middle_name": "UZOMA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-426-5181",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.