Allegheny Plaza Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALLEGHENY PLAZA PHARMACY

Practice address

400 W Allegheny Ave # B2
Philadelphia, PA 19133-3614

Phone

(215) 634-1212

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By 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

Derrick DarbouzeNPI 1710411970

Title

Pharmacist

Phone

(201) 458-4488

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Derrick D Darbouze

  • Pharmacist
  • Pennsauken, NJ
  • NPI 1710411970
  Authorized official Same address or phone

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1366000564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N FRANKLIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ALLEGHENY AVE # B2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333614",
            "telephone_number": "215-634-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "DARBOUZE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-458-4488"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 3, 2019; 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.