Angel Care Pharmacy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANGEL CARE PHARMACY LLC

Doing business as

angel care pharmacy llc

Practice address

7223A Rising Sun Ave
Philadelphia, PA 19111-3926

Phone

(610) 708-3858

Fax

(610) 708-3859

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Olivia Tchanque, DOCTORNPI 1760024400

Title

Owner

Phone

(610) 708-3858

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• angel care pharmacy llc Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Tchanque, DOCTOR

  • Pharmacist
  • Philadelphia, PA
  • NPI 1760024400
  NPD Authorized official

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1184238339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223A RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113926",
            "telephone_number": "610-708-3858",
            "fax_number": "610-708-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223A RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113926",
            "telephone_number": "610-708-3858",
            "fax_number": "610-708-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "TCHANQUE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-708-3858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103815854-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "angel care pharmacy llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "angel care pharmacy llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Susan Ang, DMD
• Katie Ang, PHARM.D.
• Su Mae Ang, M.D.
• Santiago Angaramo
• Tesfahun Mergia Angasso
• Angel Care Pharmacy LLC
• Angel Support Home Care, LLC
• Amanda Catherine Angel
• Brett G Angel, M.D.
• Julia Angel, MD

• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.