R Stanford Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482638 Issued in PA

Legal business name

R STANFORD ENTERPRISES INC

Doing business as

Rena's Pharmacy

Practice address

2904 S 70TH St
Unit 3
Philadelphia, PA 19142-2565

Phone

(267) 457-4555

Fax

(215) 307-3176

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rena M Stanford, RPH

Title

Owner/Pharmacist

Phone

(267) 457-4555

Specialties & licenses 1

Addresses

Other names 1

• Rena's Pharmacy Doing business as

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1215381496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PARKMAN CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014940",
            "telephone_number": "267-457-4555",
            "fax_number": "215-307-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S 70TH ST",
            "address_2": "UNIT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422565",
            "telephone_number": "267-457-4555",
            "fax_number": "215-307-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R STANFORD ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "267-457-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rena's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.