Sqa Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP481603 Issued in PA

Legal business name

SQA PHARMACY SERVICES LLC

Practice address

4700 Wissahickon Ave
Ste B108
Philadelphia, PA 19144-4248

Phone

(215) 438-3308

Fax

(215) 951-6285

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Brady

Title

Financial Analyst

Phone

(215) 438-3308

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SQA PHARMACY SERVICES LLC Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1265452197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "STE B108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-438-3308",
            "fax_number": "215-951-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "STE B108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-438-3308",
            "fax_number": "215-951-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQA PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "FINANCIAL ANALYST",
        "authorized_official_telephone_number": "215-438-3308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP481603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10166619",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SQA PHARMACY SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.