Sousan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412344L Issued in PA

Legal business name

SOUSAN PHARMACY INC

Doing business as

Sousan Pharmacy Inc

Practice address

8029 Old York Rd
Elkins Park, PA 19027-1413

Phone

(215) 635-4200

Fax

(215) 635-3654

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Elliott Haaz, RPH

Title

Owner and President

Phone

(215) 635-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUSAN PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1225028558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271413",
            "telephone_number": "215-635-4200",
            "fax_number": "215-635-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271413",
            "telephone_number": "215-635-4200",
            "fax_number": "215-635-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUSAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HAAZ",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "215-635-4200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412344L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3914024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUSAN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A. Mitchell Smith, MD
• Jelisa S Smith
• Andrew Snyder, NRP
• Veronika Sokolovski, DMD
• Jennifer Aimee Souder, CRNP
• Sharon M Sowinski-Mueller, DO
• Larry Wayne Spector, D.O.
• Speech Finders Pediatric Therapy, LLC
• Jacob Spivack
• Fiona Stavri, MD

• Community/Retail Pharmacy in Elkins Park, PA
• Providers in Elkins Park, 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 Jul 1, 2010; 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.