McKean Street Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410094L Issued in PA

Legal business name

MCKEAN STREET PHARMACY

Doing business as

McKean Street Pharmacy

Practice address

2745 McKean St
Philadelphia, PA 19145-2513

Phone

(215) 334-4185

Fax

(215) 334-4784

NPI assigned

Nov 3, 2006

Last updated

Feb 22, 2016By 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

Paul Jirotto, RPH

Title

President

Phone

(215) 334-4185

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MCKEAN STREET PHARMACY Doing business as

Locations

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.

• Paul V Tirotto

  • Pharmacist
  • Philadelphia, PA
  • NPI 1033083076
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1528147295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452513",
            "telephone_number": "215-334-4185",
            "fax_number": "215-334-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452513",
            "telephone_number": "215-334-4185",
            "fax_number": "215-334-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEAN STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "JIROTTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-334-4185",
        "authorized_official_credential": "RPH"
    },
    "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": "PP410094L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401523",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKEAN STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corurtney M McKay, BA OF ARTS
• James R McKay, PHD
• Kimberly McKay, LCSW, PHD
• Shannon McKay, SLP
• Matthew Gerard McKeague, MD
• Amanda Nicole McKee
• Bistra McKee, CRNP
• Jillian Lee McKee, M.D., PH.D.
• Madison Mary McKee, MD
• Matthew Owen McKeever, PA-C

• 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 Feb 22, 2016; 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.