Active NPI
MTP RX LLC
Doing business as Medical Tower Pharmacy
- Long Term Care Pharmacy
- Philadelphia, PA
National Provider Identifier
1396589511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MTP RX LLC
- Doing business as
- Medical Tower Pharmacy
- Practice address
- 255 S 17TH St
Philadelphia, PA 19103-6231 - Phone
- (215) 545-3525
- NPI assigned
- Jun 21, 2024
- 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
- Antonio Mario Sellecchia
- Title
- Pharmacist
- Phone
- (215) 545-3525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
255 S 17TH St
Philadelphia, PA 19103-6231
Mailing address
255 S 17TH St
Philadelphia, PA 19103-6231
Other names 1
- Medical Tower Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Medical Tower Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1396589511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "215-545-3525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTP RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "SELLECCHIA",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "MARIO",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "215-545-3525"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Tower Pharmacy",
"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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.