City Line Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482244 Issued in PA

Legal business name

CITY LINE PHARMACY LLC

Practice address

150 Monument Rd Ste 601C
Bala Cynwyd, PA 19004-1701

Phone

(610) 664-7100

Fax

(866) 403-7224

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Hajira Ebady, PHARM.D.

Title

Manager

Phone

(610) 664-7100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• City Line Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1427324482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 601C",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-664-7100",
            "fax_number": "866-403-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 601C",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-664-7100",
            "fax_number": "866-403-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY LINE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "EBADY",
        "authorized_official_first_name": "HAJIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-664-7100",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "PP482244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Line Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasnia Chowdhury, LBS
• Christine Angela Chung, M.D.
• City Line Cardiology Associates Inc
• City Line Eye Care LLC
• City Line Family Medicine P.C.
• Clarion Telehealth Professionals Professional LLC
• Clarity&Purpose Therapeutic Services LLC
• Clark Dental Associates, LLC
• Tiffany Shanae Clarke
• Sean Dennin Cleary, MS, LPC, NCC

• Community/Retail Pharmacy in Bala Cynwyd, PA
• Providers in Bala Cynwyd, 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 Feb 17, 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.