Pharmdirect RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482175 Issued in PA

Legal business name

PHARMDIRECT RX

Practice address

2308 Grays Ferry Ave
P3
Philadelphia, PA 19146-1177

Phone

(215) 732-0300

Fax

(215) 732-0305

NPI assigned

Sep 29, 2011

Last updated

Oct 8, 2011By 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

Dr. Tyreese M McCrea, PHARMD

Title

Owner/Pharmacist

Phone

(215) 732-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PharmDirect, LLC Other name

Locations

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318032000000",
    "number": "1225312952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 GRAYS FERRY AVE",
            "address_2": "P3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461177",
            "telephone_number": "215-732-0300",
            "fax_number": "215-732-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 GRAYS FERRY AVE",
            "address_2": "P3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461177",
            "telephone_number": "215-732-0300",
            "fax_number": "215-732-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMDIRECT RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-10-08",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "TYREESE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "215-732-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PHARMACY LICENSE NUMBER",
            "identifier": "PP482175",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmDirect, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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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 Oct 8, 2011; 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.