Organization Active NPI

North West Pharmacy Inc.

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1457362154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP411913L Issued in PA
Legal business name
NORTH WEST PHARMACY INC.
Practice address
2024 N 22ND St
Philadelphia, PA 19121-1407
Phone
(215) 232-9222
Fax
(215) 232-9822
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Henry P Lee, RPH
Title
President
Phone
(215) 232-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PP411913L PA Primary

Addresses

Primary practice location

2024 N 22ND St
Philadelphia, PA 19121-1407

Mailing address

2024 N 22ND St
Philadelphia, PA 19121-1407
Phone (215) 232-9222

Other identifiers 2

IdentifierTypeStateIssuer
0558385MedicaidPA
3940182OtherPANABP

National Provider Directory

National Provider Directory

Locations

2024 N 22nd St
Philadelphia, PA 19121
Phone (215) 232-9222

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457362154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191211407",
            "telephone_number": "215-232-9222",
            "fax_number": "215-232-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191211407",
            "telephone_number": "215-232-9222",
            "fax_number": "215-232-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WEST PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-232-9222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP411913L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558385",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3940182",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.