Organization Active NPI

Delaire Pharmacy LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1205182870
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DELAIRE PHARMACY LLC
Practice address
9456 State Rd
Philadelphia, PA 19114-3079
Phone
(267) 343-8741
Fax
(267) 343-8798
NPI assigned
Jul 31, 2012
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mrs. Ngoc T Chung
Title
Pharmacist/Store Manager
Phone
(267) 343-8741

Specialties & licenses 1

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

Addresses

Primary practice location

9456 State Rd
Philadelphia, PA 19114-3079

Mailing address

9456 State Rd Store #13
Philadelphia, PA 19114-3079
Phone (267) 343-8742

National Provider Directory

National Provider Directory

Locations

9456 State Rd
Philadelphia, PA 19114
Phone (215) 632-8282

9456 State Rd
#13
Philadelphia, PA 19114

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1205182870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 STATE RD STORE #13",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143079",
            "telephone_number": "267-343-8742",
            "fax_number": "267-343-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 STATE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143079",
            "telephone_number": "267-343-8741",
            "fax_number": "267-343-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAIRE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "NGOC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST/STORE MANAGER",
        "authorized_official_telephone_number": "267-343-8741",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Sep 19, 2013; 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.