Active NPI
Golds Pharmacy Inc
- Pharmacy
- Philadelphia, PA
National Provider Identifier
1619332301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP482609
- Legal business name
- GOLDS PHARMACY INC
- Practice address
- 7543 Haverford Ave
Philadelphia, PA 19151-2226 - Phone
- (215) 879-4653
- Fax
- (215) 878-4600
- NPI assigned
- Dec 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evan Lessa
- Title
- Pharmacy Manager
- Phone
- (215) 879-4653
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP482609 | PA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
7543 Haverford Ave
Philadelphia, PA 19151-2226
Mailing address
7543 Haverford Ave
Philadelphia, PA 19151-2226
Phone (215) 879-4653
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030687740001 | Medicaid | PA | |
| 2156159 | Other | PK |
Other names 1
- Gold's Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1619332301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7543 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191512226",
"telephone_number": "215-879-4653",
"fax_number": "215-879-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7543 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191512226",
"telephone_number": "215-879-4653",
"fax_number": "215-878-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "LESSA",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "215-879-4653"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP482609",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030687740001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2156159",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gold's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.