Rudi Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415530L Issued in PA

Legal business name

RUDI PHARMACY INC

Doing business as

Philadelphian Pharmacy

Practice address

2401 Pennsylvania Ave
Philadelphia, PA 19130-3010

Phone

(215) 232-0533

Fax

(215) 232-1927

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Rudolph, PHARMACIST

Title

Owner Manager

Phone

(215) 232-0533

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHILADELPHIAN PHARMACY Doing business as

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1518936491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-232-0533",
            "fax_number": "215-232-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-232-0533",
            "fax_number": "215-232-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "215-232-0533",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415530L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3984223",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013136750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILADELPHIAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Ruddock, MD
• Mallery Ruddy
• Alec Anthony Rudenstein
• Robert S Rudenstein, MD
• Madison Raine Rudesyle
• Lisa Rudi-Davis, RDN, LDN
• Brian Peter Rudick, M.D.
• Christopher Andrew Rudmann, MD
• Howard L Rudnick, MD
• Michael R Rudnick, MD

• 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 Aug 11, 2011; 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.