Falls Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP487141 Issued in PA

Legal business name

FALLS DRUG STORE

Practice address

3300 Henry Ave Ste 103
Philadelphia, PA 19129-1121

Phone

(267) 331-5421

Fax

(267) 331-5418

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Beth Dewan

Title

Owner

Phone

(267) 331-5421

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Falls Drug Store Doing business as

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1417240367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "267-331-5421",
            "fax_number": "267-331-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE STE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "267-331-5421",
            "fax_number": "267-331-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-331-5421"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP487141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3995531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falls Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Fallig, PSY.D.
• Elizabeth Coeli Fallon, MSOTR/L
• Jonathan Fallon, RN
• Samuel Jude Fallon, MD
• Mohanad M Fallouh, M.D.
• Falls Pediatric & Teen Care, LLP
• Matthew John Fallstick, D.O.
• Wale Falodun, LSW
• Andrea Falzone, PSY.D.
• Chloe Fama

• 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 May 25, 2011; 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.