Deluxe Drug Stores LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482051 Issued in PA

Legal business name

DELUXE DRUG STORES LLC

Practice address

8749 Frankford Ave
Philadelphia, PA 19136-2126

Phone

(215) 941-7689

Fax

(215) 941-7893

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Venkata Balamuri

Title

Pharmacy Manager

Phone

(215) 941-7689

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DELUXE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA3 enrollments

Enrollment records 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkata S Balumuri

  • Pharmacist
  • Trenton, NJ
  • NPI 1043530884
  NPD
• Maryann Brown, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1376132985
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1629384979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8749 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362126",
            "telephone_number": "215-941-7689",
            "fax_number": "215-941-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8749 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362126",
            "telephone_number": "215-941-7689",
            "fax_number": "215-941-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DRUG STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BALAMURI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-941-7689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025140600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3994337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELUXE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DELUXE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Richard Deluca, LMFT
• Virginia Y. Deluca, RN
• Gabrielle Quinn Delucca
• Margaret Alayna Delucia, DPT
• Ashley Delutis
• Jennifer Suzanne Delvecchio, LCSW
• Michael Thomas Delvecchio, MD
• Joseph Delvey Jr., PH.D.
• Joseph Delviscio, PTA
• Matthew Delzell, DO

• 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 Apr 11, 2019; 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.