Nova Star Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482352 Issued in PA

Legal business name

NOVA STAR PHARMACY INC

Doing business as

NOVA STAR PHARMACY

Practice address

301 E Girard Ave
Philadelphia, PA 19125-3918

Phone

(215) 739-3900

Fax

(215) 739-3903

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Andrea GolemiNPI 1619501863

Title

President/Ceo

Phone

(267) 992-2765

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• NOVA STAR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Nova Star Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nova Star Pharmacy Inc

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1487484093
  NPD tax ID

Locations

Practitioners 1

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

• Andrea Golemi

  • Pharmacist
  • Philadelphia, PA
  • NPI 1619501863
  NPD Authorized official

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1396099040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253918",
            "telephone_number": "215-739-3900",
            "fax_number": "215-739-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253918",
            "telephone_number": "215-739-3900",
            "fax_number": "215-739-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA STAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "GOLEMI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "267-992-2765"
    },
    "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": "PP482352",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028087660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nora Nova
• Novacare Outpatient Rehabilitation East, Inc.
• Novacare Outpatient Rehabilitation East, Inc.

• 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 Nov 29, 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.

Verify at the official NPI Registry.