B. Kucherovsky, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411367L Issued in PA

Legal business name

B. KUCHEROVSKY, INC

Doing business as

Summerdale Pharmacy

Practice address

900 E Sanger St
Philadelphia, PA 19124-1034

Phone

(215) 743-6349

Fax

(215) 533-8504

NPI assigned

Feb 13, 2007

Last updated

Jun 9, 2015By 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

Bronislava Kucherovsky

Title

Owner

Phone

(215) 743-6349

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summerdale Pharmacy Doing business as

Locations

Practitioners 3

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.

• Josephine M Baldassano-Fields

  • Pharmacist
  • Philadelphia, PA
  • NPI 1811697717
  NPD (past)
• Olivia Tchanque, DOCTOR

  • Pharmacist
  • Philadelphia, PA
  • NPI 1760024400
  NPD (past)
• Shane C. Wenner, RPH.

  • Pharmacist
  • Philadelphia, PA
  • NPI 1629385398
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1467594796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SANGER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241034",
            "telephone_number": "215-743-6349",
            "fax_number": "215-533-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SANGER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241034",
            "telephone_number": "215-743-6349",
            "fax_number": "215-533-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. KUCHEROVSKY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "KUCHEROVSKY",
        "authorized_official_first_name": "BRONISLAVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-743-6349"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411367L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18420090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerdale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• B & S Home Care LLC
• B & T Healthcare LLC
• B & Y Pharmacy
• B 4 Life Ambulance Inc
• B Janet Hibbs PHD PC
• B. Nova Home Care
• B.Komplete, LLC
• B.Wellness Collective
• B' Home Homecare
• Felicia Baa-Adomako, LCSW

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.