Cijo Annie Eapen

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP451326 Issued in PA

Practice address

710 Burmont Rd
Drexel Hill, PA 19026-4322

Phone

(610) 626-4350

Fax

(610) 626-2384

NPI assigned

May 8, 2018

Last updated

May 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 01081

  • Community/Retail Pharmacy
  • Drexel Hill, PA
  • NPI 1821187568
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1245729953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S PARKWAY APT 308B",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083620",
            "telephone_number": "609-287-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BURMONT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264322",
            "telephone_number": "610-626-4350",
            "fax_number": "610-626-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "CIJO",
        "middle_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drexel Hill Hearing Aid Center
• Drexel Hill Smiles PC
• Drexel Hill Taiji Acucare LLC (Taiji Acucare)
• Drexel Plan RX, LLC (Drexel Hill Pharmacy)
• Drexel Spine & Rehab
• Easy Care Inc (Touching Hearts at Home)
• Ralph William Eckardt, CLINICAL SOCIAL WORK
• Edmonds & Associates LLC
• Edmonds and Associates (Great Valley Eye Associates)
• Chad Thomas Edmonds, OD

• Pharmacist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.