Organization Active NPI

MMR Group

Doing business as 26th & lehigh pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1427338060
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482166 Issued in PA
Legal business name
MMR GROUP
Doing business as
26th & lehigh pharmacy
Practice address
2602 W Lehigh Ave
Philadelphia, PA 19132-3120
Phone
(267) 687-2702
Fax
(267) 687-2707
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Razel GebrehanaNPI 1043531130
Title
Pharmacy Owner
Phone
(267) 687-2702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482166 PA Primary

Addresses

Primary practice location

2602 W Lehigh Ave
Philadelphia, PA 19132-3120

Mailing address

2602 W Lehigh Ave
Philadelphia, PA 19132-3120
Phone (267) 687-2702

Other identifiers 1

IdentifierTypeStateIssuer
1026387550001MedicaidPA

Other names 1

  • 26th & lehigh pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2602 W Lehigh Ave
Philadelphia, PA 19132
Phone (267) 687-2702

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1427338060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323120",
            "telephone_number": "267-687-2702",
            "fax_number": "267-687-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323120",
            "telephone_number": "267-687-2702",
            "fax_number": "267-687-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "GEBREHANA",
        "authorized_official_first_name": "RAZEL",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "267-687-2702"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026387550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "26th & lehigh pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "26th & lehigh 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 May 7, 2025; 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.