CSP Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482565 Issued in PA

Legal business name

CSP PHARMACY INC

Doing business as

Good Health Pharmacy

Practice address

2224 W 9TH St
Chester, PA 19013-2402

Phone

(610) 497-1015

Fax

(610) 494-4721

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Prof. Chiranjivi Bharath Jannu

Title

Owner

Phone

(813) 874-2900

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Good Health Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1629452974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132402",
            "telephone_number": "610-497-1081",
            "fax_number": "610-494-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132402",
            "telephone_number": "610-497-1015",
            "fax_number": "610-494-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "JANNU",
        "authorized_official_first_name": "CHIRANJIVI",
        "authorized_official_middle_name": "BHARATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-2900",
        "authorized_official_name_prefix": "Prof."
    },
    "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": "PP482565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629452974",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crozer-Chester Medical Center
• Crozer-Chester Medical Center (CrozerTaylorSpringfield)
• Crozer-Keystone Community Foundation
• Crozer-Keystone Community Foundation
• Crozer-Keystone Health System
• Constance Cunningham
• Susanne Marie Cushing
• Katie D'Imperio, BA
• Peter Anthony D'Orsaneo, NURSE PRACTITIONER
• Daniel O. Dada, M.D.

• Community/Retail Pharmacy in Chester, PA
• Providers in Chester, 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 Jan 14, 2022; 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.