NPIMap

Organization Active NPI

3 Sisters Enterprise

Doing business as 5 Star Pharmacy & Medical Supply

  • Community/Retail Pharmacy
  • Southampton, PA
National Provider Identifier
1548809304
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
3 SISTERS ENTERPRISE
Doing business as
5 Star Pharmacy & Medical Supply
Practice address
209 2ND Street Pike
Southampton, PA 18966-3833
Phone
(215) 355-2004
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Michael Gibilante, R.PH.NPI 1629626775
Title
President
Phone
(215) 355-2004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

209 2ND Street Pike
Southampton, PA 18966-3833

Mailing address

209 2ND Street Pike
Southampton, PA 18966-3833

Other identifiers 1

IdentifierTypeStateIssuer
PP482329OtherPASTATE LICENSE

Other names 1

  • 5 Star Pharmacy & Medical Supply Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mike@5stardrugstore.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

209 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-2004

Practitioners & affiliated clinicians

Practitioners 2

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1548809304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663833",
            "telephone_number": "215-355-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 SISTERS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "GIBILANTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-355-2004",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP482329",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mike@5stardrugstore.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "209 2nd Street Pike",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189663833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "5 Star Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.