Active NPI
E-Glam Inc
Doing business as e-glam pharmacy II
- Pharmacy
- Philadelphia, PA
National Provider Identifier
1477864924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP482026
- Legal business name
- E-GLAM INC
- Doing business as
- e-glam pharmacy II
- Practice address
- 1412 W Susquehanna Ave
Philadelphia, PA 19121-1684 - Phone
- (215) 763-1405
- Fax
- (215) 232-1878
- NPI assigned
- Jun 30, 2010
- Organization subpart
- Yes
- Parent organization
- E-GLAM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Inyang Inyang, PHARM.D
- Title
- President
- Phone
- (215) 763-1405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP482026 | PA | Primary |
Addresses
Primary practice location
1412 W Susquehanna Ave
Philadelphia, PA 19121-1684
Mailing address
1412 West Susquehanna Avenue
Philadelphia, PA 19122
Phone (215) 763-1405
Other names 1
- e-glam pharmacy II
National Provider Directory
National Provider Directory- Tax ID family
- E-Glam Inc
- Part of
- E-Glam Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1477864924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 WEST SUSQUEHANNA AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19122",
"telephone_number": "215-763-1405",
"fax_number": "215-232-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 W SUSQUEHANNA AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191211684",
"telephone_number": "215-763-1405",
"fax_number": "215-232-1878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E-GLAM INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "E-GLAM INC",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "INYANG",
"authorized_official_first_name": "INYANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-763-1405",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP482026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "e-glam pharmacy II",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.