Organization Active NPI

Overbrook Plaza Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1518273952
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482054 Issued in PA
Legal business name
OVERBROOK PLAZA PHARMACY
Practice address
5610 Lancaster Ave
Philadelphia, PA 19131-3425
Phone
(215) 921-3656
Fax
(215) 921-3666
NPI assigned
Aug 23, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Ewnetu Zerihun, PHARMDNPI 1407480635
Title
Pharmacist
Phone
(484) 431-8761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482054 PA Primary

Addresses

Primary practice location

5610 Lancaster Ave
Philadelphia, PA 19131-3425

Mailing address

5610 Lancaster Ave
Philadelphia, PA 19131-3425
Phone (215) 921-3656

National Provider Directory

National Provider Directory

Locations

5610 Lancaster Ave
Philadelphia, PA 19131
Phone (215) 473-1864

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1518273952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313425",
            "telephone_number": "215-921-3656",
            "fax_number": "215-921-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 LANCASTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313425",
            "telephone_number": "215-921-3656",
            "fax_number": "215-921-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERBROOK PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "ZERIHUN",
        "authorized_official_first_name": "EWNETU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "484-431-8761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482054",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 23, 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.

Verify at the official NPI Registry.