Organization Active NPI

Packer Apothecary

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1295049625
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482031 Issued in PA
Legal business name
PACKER APOTHECARY
Doing business as
Packer Apothecary
Practice address
1532 Packer Ave
Philadelphia, PA 19145-5407
Phone
(267) 909-9814
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Christopher PauzanoNPI 1578930640
Title
Mananger
Phone
(267) 266-9270

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)CodeLicenseStatePrimary
Pharmacy 333600000X PP482031 PA Primary

Addresses

Primary practice location

1532 Packer Ave
Philadelphia, PA 19145-5407

Mailing address

1532 Packer Ave
Philadelphia, PA 19145-5407
Phone (267) 909-9214

Other identifiers 1

IdentifierTypeStateIssuer
3994173OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Packer Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

1532 Packer Ave
Philadelphia, PA 19145
Phone (267) 909-9814

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1295049625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455407",
            "telephone_number": "267-909-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455407",
            "telephone_number": "267-909-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKER APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "PAUZANO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "267-266-9270"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3994173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Packer Apothecary",
            "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 Feb 29, 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.