Organization Active NPI

Dookie Boyz LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1427878743
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOOKIE BOYZ LLC
Practice address
6201 N Front St Unit 123
Philadelphia, PA 19120-1541
Phone
(215) 706-8880
Fax
(215) 706-8881
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Jeremy Conard
Title
Consultant
Phone
(215) 678-7733

Specialties & licenses 1

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

Addresses

Primary practice location

6201 N Front St Unit 123
Philadelphia, PA 19120-1541

Mailing address

6201 N Front St Unit 123
Philadelphia, PA 19120-1541
Phone (215) 706-8880

Other names 1

  • KIMS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

6201 N Front St
Unit 123
Philadelphia, PA 19120
Phone (215) 706-8880

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1427878743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N FRONT ST UNIT 123",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201541",
            "telephone_number": "215-706-8880",
            "fax_number": "215-706-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N FRONT ST UNIT 123",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201541",
            "telephone_number": "215-706-8880",
            "fax_number": "215-706-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOKIE BOYZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "215-678-7733"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIMS 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 Oct 11, 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.

Verify at the official NPI Registry.