CPS Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482296 Issued in PA

Legal business name

CPS ENTERPRISES INC

Practice address

4027 Market St
Philadelphia, PA 19104-3002

Phone

(215) 921-5660

Fax

(215) 921-5497

NPI assigned

Aug 22, 2012

Organization subpart

No

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

Authorized official

Name

Anmol Kamra

Title

Pharmacy Coordinator

Phone

(215) 921-5660

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Campus Pharmacy Doing business as

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1629326624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043002",
            "telephone_number": "215-921-5660",
            "fax_number": "215-921-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043002",
            "telephone_number": "215-921-5660",
            "fax_number": "215-921-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "KAMRA",
        "authorized_official_first_name": "ANMOL",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "215-921-5660"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Philadelphia, PA
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.