Academy Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481582 Issued in PA

Legal business name

ACADEMY PHARMACY LLC

Doing business as

Academy Pharmacy

Practice address

10101 Academy Rd
Ste 105
Philadelphia, PA 19114-1120

Phone

(215) 632-2121

Fax

(215) 632-6107

NPI assigned

May 23, 2006

Last updated

Mar 3, 2021By 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

Joseph Ralston, RPHNPI 1093739898

Title

Owner

Phone

(215) 632-2121

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ACADEMY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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.

• Joseph P Ralston Jr., RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1093739898
  NPD Authorized official
• John Patrick Knorr, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1164183497
  NPD (past)
• Rebecca Mai Lee Navarro, PHARMD, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1699367821
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1326093170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "STE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-632-2121",
            "fax_number": "215-632-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "address_2": "STE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-632-2121",
            "fax_number": "215-632-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-632-2121",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087764",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015794080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADEMY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACADEMY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Academy Dental Associates, LLC
• Academy Family Dental Care
• Academy Family Dental Care PC
• Academy Oral Surgery LLC
• Academy Orthodontics LLC
• Academy Pharmacy LLC (Academy Pharmacy)
• Academy Physical Medicine, P.C.
• Academy Road Medical Associates, LLC
• Vitoria Acar, MD
• Arianna Accay, DMD

• 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 Mar 3, 2021; 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.