Krewstown Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482214 Issued in PA

Legal business name

KREWSTOWN PHARMACY

Practice address

9313 Krewstown Rd
Philadelphia, PA 19115-3710

Phone

(215) 673-7373

NPI assigned

Nov 12, 2011

Last updated

Nov 26, 2013By 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

Mr. Devassykutty K Vareed, BSC, BPHARM, RPHNPI 1356087340

Title

President & Ceo

Phone

(215) 673-7373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devassykutty K Vareed

  • Pharmacist
  • Philadelphia, PA
  • NPI 1356087340
  NPD Authorized official

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1225315682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-673-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-673-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREWSTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "VAREED",
        "authorized_official_first_name": "DEVASSYKUTTY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-673-7373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC, BPHARM, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kretzinger
• Adeline Kreuser
• Matthew Robert Krevetski, D.O.
• Larry E Krevolin, DO
• Benjamin Krevsky, MD
• Christin Hasara Krey, MPT
• Karen L Krich, MD
• Michael Kricheli, M.A
• Erika Krick, VMD
• Casey Krickus

• 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 Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.