Organization Active NPI

Golds Pharmacy Inc

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1619332301
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482609 Issued in PA
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

Updated by the provider on Feb 10, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1030687740001MedicaidPA
2156159OtherPK

Other names 1

  • Gold's Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.