Active NPI
Wyoming Pharmacy LLC
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1194355172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WYOMING PHARMACY LLC
- Practice address
- 333 E Wyoming Ave
Philadelphia, PA 19120-4434 - Phone
- (215) 333-1555
- NPI assigned
- Jan 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Saiful Islam, PHARMACIST
- Title
- Pharmacist in Charge
- Phone
- (407) 967-6840
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
333 E Wyoming Ave
Philadelphia, PA 19120-4434
Mailing address
333 E Wyoming Ave
Philadelphia, PA 19120-4434
Phone (215) 333-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP482943 | Other | PA | STATE BOARD |
Other names 1
- Wyoming Pharmacy
National Provider Directory
National Provider DirectoryLocations
333 E Wyoming Ave
Philadelphia, PA 19120
Phone (215) 333-1555
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oviedo, FL
- NPI 1972714731
-
- Pharmacist
- Philadelphia, PA
- NPI 1386468130
-
- Pharmacist
- Philadelphia, PA
- NPI 1144891318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579305600000",
"number": "1194355172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204434",
"telephone_number": "215-333-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204434",
"telephone_number": "215-333-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYOMING PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-18",
"last_updated": "2020-01-18",
"certification_date": "2020-01-18",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "SAIFUL",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "407-967-6840",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "PP482943",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wyoming 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 Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.