Active NPI
Castor Pharmacy & Surgical Supplies LLC
Doing business as Castor Pharmacy & Surgical Supplies
- Community/Retail Pharmacy
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CASTOR PHARMACY & SURGICAL SUPPLIES LLC
- Doing business as
- Castor Pharmacy & Surgical Supplies
- Practice address
- 6449 Castor Ave
Philadelphia, PA 19149-2738 - Phone
- (267) 233-1758
- NPI assigned
- Apr 29, 2011
- Last updated
- Jun 30, 2016
- 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
- Dr. Timothy Monahan, PHARMD
- Title
- Vice President/Pharmacy MGR
- Phone
- (267) 269-7890
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 | NU | Primary |
Addresses
Primary practice location
6449 Castor Ave
Philadelphia, PA 19149-2738
Mailing address
6449 Castor Ave
Philadelphia, PA 19149-2738
Phone (267) 233-1758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3995454 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Castor Pharmacy & Surgical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221026002473 | PA | DME Supplier - Pharmacy | 3072989433 | Practice locations: Philadelphia, PA |
| O20260420002921 | PA | Part B Supplier - Pharmacy | 3072989433 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryLocations
6449 Castor Ave
Philadelphia, PA 19149
Phone (215) 745-3976
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Philadelphia, PA
- NPI 1891084141
-
- Pharmacist
- Philadelphia, PA
- NPI 1447520556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467244800000",
"number": "1356632913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6449 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492738",
"telephone_number": "267-233-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492738",
"telephone_number": "267-233-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASTOR PHARMACY & SURGICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-29",
"last_updated": "2016-06-30",
"status": "A",
"authorized_official_last_name": "MONAHAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "VICE PRESIDENT/PHARMACY MGR",
"authorized_official_telephone_number": "267-269-7890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3995454",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Castor Pharmacy & Surgical Supplies",
"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 Jun 30, 2016; 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.