West Village Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP413215L Issued in PA

Legal business name

WEST VILLAGE PHARMACY INC

Practice address

3901 Conshohocken Ave
Phila, PA 19131-5430

Phone

(215) 879-2520

Fax

(215) 879-3590

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonas KosikNPI 1043218175

Title

Pharmacist Owner

Phone

(215) 879-2520

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonas Kosik

  • Pharmacist
  • Philadelphia, PA
  • NPI 1043218175
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457431595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191315430",
            "telephone_number": "215-879-2520",
            "fax_number": "215-879-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191315430",
            "telephone_number": "215-879-2520",
            "fax_number": "215-879-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSIK",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "215-879-2520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413215L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0859342",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "3923364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory U Welcome, BA
• Weldon LTD
• Christine Marie Weldon, O.D.
• Alexis Wenger
• West Philly Chiropractic, LLC (Healthbridge Chiropractic)
• Melissa West, LBS
• Jeneen Whaley, LCSW
• Jacqueline Wheeler-Coleman, M.D., MSPH
• Sheryl L White, PTA
• Traci Lynn White, LPTA

• Pharmacy in Phila, PA
• Providers in Phila, PA by specialty
• Pharmacy in Pennsylvania

• 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.