Appraised LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482522 Issued in PA

Legal business name

APPRAISED LLC

Doing business as

Shop and Carry Pharmacy

Practice address

1301 Lindley Ave
Philadelphia, PA 19141-2747

Phone

(267) 297-5030

Fax

(267) 297-5783

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Jittu George

Title

Owner

Phone

(215) 779-9378

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shop and Carry Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1578952156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LINDLEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412747",
            "telephone_number": "267-297-5030",
            "fax_number": "267-297-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LINDLEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412747",
            "telephone_number": "267-297-5030",
            "fax_number": "267-297-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPRAISED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JITTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-779-9378"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149727",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030004280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shop and Carry Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.