Organization Active NPI

Cottman 1 Pharmacy LLC

Doing business as Cottman 1 Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1184186470
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COTTMAN 1 PHARMACY LLC
Doing business as
Cottman 1 Pharmacy
Practice address
1701 Cottman Ave
Philadelphia, PA 19111-3802
Phone
(215) 728-6300
Fax
(215) 728-6302
NPI assigned
Apr 4, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Nikita Patel
Title
Member of LLC
Phone
(215) 728-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1701 Cottman Ave
Philadelphia, PA 19111-3802

Mailing address

1701 Cottman Ave
Philadelphia, PA 19111-3802
Phone (215) 728-6300

Other names 1

  • COTTMAN 1 PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190912002650 PA DME Supplier - Pharmacy 5698004844 Practice locations: Philadelphia, PA
O20191008002835 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5698004844 Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cottman 1 Pharmacy LLC1701 Cottman Ave, Philadelphia, PA 19111-3802(215) 728-6300 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Re… Accepts assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory

Locations

1701 Cottman Ave
Philadelphia, PA 19111
Phone (215) 669-4912

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1184186470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113802",
            "telephone_number": "215-728-6300",
            "fax_number": "215-728-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113802",
            "telephone_number": "215-728-6300",
            "fax_number": "215-728-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTMAN 1 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "215-728-6300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COTTMAN 1 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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.