Active NPI
Yn Pharmacy LLC
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1255705216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- YN PHARMACY LLC
- Doing business as
- Patient Care Pharmacy
- Practice address
- 801-21 Washington Ave
Philadelphia, PA 19147-4716 - Phone
- (484) 557-1671
- NPI assigned
- Nov 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex N Luong, RPH
- Title
- Manager/Owner
- Phone
- (484) 557-1671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
801-21 Washington Ave
Philadelphia, PA 19147-4716
Mailing address
801-21 Washington Ave
Philadelphia, PA 19147-4716
Phone (484) 557-1671
Other names 1
- Patient Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240129002514 | PA | Part B Supplier - Pharmacy | 4789097387 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
2545 W Chester Pike
Broomall, PA 19008
801 Washington Ave
Philadelphia, PA 19147
Phone (215) 592-1668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1407378425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449014400000",
"number": "1255705216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801-21 WASHINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474716",
"telephone_number": "484-557-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801-21 WASHINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474716",
"telephone_number": "484-557-1671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-13",
"last_updated": "2015-12-02",
"status": "A",
"authorized_official_last_name": "LUONG",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "484-557-1671",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patient Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.