MDK Group Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482477 Issued in PA

Legal business name

MDK GROUP INCORPORATED

Practice address

5601 Vine St # C2
Philadelphia, PA 19139-1306

Phone

(267) 787-5210

Fax

(267) 787-5264

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Michael Selassie

Title

Manager

Phone

(267) 787-5210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1538560552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 VINE ST # C2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391306",
            "telephone_number": "267-787-5210",
            "fax_number": "267-787-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VINE ST # C2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391306",
            "telephone_number": "267-787-5210",
            "fax_number": "267-787-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDK GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "SELASSIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-787-5210"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica McWhorter, RN, MSN, CRNP
• Carlie Lynn McWilliams
• John McWilliams, LCSW
• MD Therapy LLC
• Mdburkeprpa LLC
• MDP Home Care LLC
• Me for You Homecare LLC
• Audra Jordan Mead, OTR/L
• Philip Mead, MD
• Jermaine Meades II

• 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 Dec 30, 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.