Organization Active NPI

Sankofa Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1407224736
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482561 Issued in PA
Legal business name
SANKOFA PHARMACY
Doing business as
EAST FALLS PHARMACY
Practice address
3500 Sunnyside Ave # 3508
Philadelphia, PA 19129-1448
Phone
(267) 297-5427
Fax
(267) 331-8883
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Kay Dei
Title
Pharmacy Technician
Phone
(267) 297-5427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482561 PA Primary

Addresses

Primary practice location

3500 Sunnyside Ave # 3508
Philadelphia, PA 19129-1448

Mailing address

3500 Sunnyside Ave # 3508
Philadelphia, PA 19129-1448
Phone (267) 297-5427

Other identifiers 2

IdentifierTypeStateIssuer
1024748590001MedicaidPA
2152801OtherPK

Other names 1

  • EAST FALLS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1407224736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SUNNYSIDE AVE # 3508",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291448",
            "telephone_number": "267-297-5427",
            "fax_number": "267-331-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SUNNYSIDE AVE # 3508",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291448",
            "telephone_number": "267-297-5427",
            "fax_number": "267-331-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DEI",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "267-297-5427"
    },
    "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": "PP482561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024748590001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST FALLS 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 Sep 3, 2015; 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.