Glendale Prescription Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481117 Issued in PA

Legal business name

GLENDALE PRESCRIPTION CENTER INC

Doing business as

Glendale Prescription Center

Practice address

7601 Castor Ave
Ste 100 Lobby
Philadelphia, PA 19152-4026

Phone

(215) 722-6200

Fax

(215) 722-6211

NPI assigned

Jun 16, 2005

Last updated

Aug 4, 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

Steve Tammara, BS

Title

Pharmacist Owner

Phone

(215) 722-6200

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• GLENDALE PRESCRIPTION CENTER Doing business as

Locations

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.

• Osama Elwir

  • Pharmacist
  • Philadelphia, PA
  • NPI 1902491913
  NPD
• Randy Tammara, PHARMD CDE

  • Psychiatric Pharmacist
  • Phila, PA
  • NPI 1841518511
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1598760639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVE",
            "address_2": "STE 100 LOBBY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524026",
            "telephone_number": "215-722-6200",
            "fax_number": "215-722-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVE",
            "address_2": "STE 100 LOBBY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191524026",
            "telephone_number": "215-722-6200",
            "fax_number": "215-722-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "TAMMARA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "215-722-6200",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481117",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018827750002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDALE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Kevin Gleeson, MD, MSCE
• Sojourner Gleeson, LSW
• Lauren Gleich, D.O.
• John Gleim, PH.D.
• Glendale Care Center Inc
• Maureen P Glendon, MSN, ARNP,BC, CRNP
• Steven Robert Glener, MD
• Glenn B. Truskin,DPM
• Gretchen Leigh Glenn, LCSW
• Jahiyah Glenn

• 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 4, 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.