Medical Tower Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410793L Issued in PA

Legal business name

MEDICAL TOWER PHARMACY INC

Doing business as

Medical Tower Pharmacy

Practice address

255 S 17TH St
Ground Floor
Phila, PA 19103-6231

Phone

(215) 545-3525

Fax

(215) 732-7013

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel B Heller, RPH

Title

Pharmacist Manager

Phone

(215) 545-3525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICAL TOWER PHARMACY Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356371587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "address_2": "GROUND FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-545-3525",
            "fax_number": "215-732-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "address_2": "GROUND FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-545-3525",
            "fax_number": "215-732-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TOWER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "215-545-3525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410793L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010724800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP410793L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL TOWER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcie Ann McComb, CRNP
• Riley McConnell
• Daryl Obbie McDowell, BA
• Rosaleen McGill
• Kelsey Lynn McSweeney, MS
• Daniel Mauro Mele III, DMD
• Alan Jay Meltzer, MD
• Michael Melvin
• Alan M Mermelstein, MD
• David Charles Metroka, D.D.S.

• Community/Retail Pharmacy in Phila, PA
• Providers in Phila, 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 7, 2023; 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.