MTP RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP410793L Issued in PA

Legal business name

MTP RX LLC

Practice address

255 S 17TH St
Philadelphia, PA 19103-6231

Phone

(215) 545-3525

Fax

(215) 732-7013

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Sellecchia

Title

Member

Phone

(215) 624-0919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Tower Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Medical Tower Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MTP RX LLC

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1396589511
  NPD tax ID

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1457740300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-545-3525",
            "fax_number": "215-732-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036231",
            "telephone_number": "215-545-3525",
            "fax_number": "215-732-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTP RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "SELLECCHIA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-624-0919"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410793L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Tower Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mt. Airy Pediatrics, P.C.
• Jahi B Mtaalamu, DDS
• Jeanette Mtanos, LMFT
• MTC Wellness, LLC
• MTP RX LLC
• Henrietta D Mtshali, PA-C
• Scott Mu
• Yusuf Quinton Mu'Min, LCSW
• Haitem Mohamed Muafa
• Tiba Muath, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.