Active NPI
Neff Drugs 23 LLC Dba Holmesburg Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1639196090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481594
- Legal business name
- NEFF DRUGS 23 LLC DBA HOLMESBURG PHARMACY
- Practice address
- 8039 Frankford Ave
Philadelphia, PA 19136-2736 - Phone
- (215) 332-2400
- Fax
- (215) 332-6030
- NPI assigned
- Jul 15, 2006
- 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
- Marcus Tancredi, RPH
- Title
- Member
- Phone
- (215) 332-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP481594 | PA | Primary |
Addresses
Primary practice location
8039 Frankford Ave
Philadelphia, PA 19136-2736
Mailing address
8039 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 332-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016176340001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Holmesburg Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Philadelphia, PA
- NPI 1467243642
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1346867710
-
- Pharmacist
- Millville, NJ
- NPI 1760009039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434326400000",
"number": "1639196090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8039 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362736",
"telephone_number": "215-332-2400",
"fax_number": "215-332-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8039 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362736",
"telephone_number": "215-332-2400",
"fax_number": "215-332-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEFF DRUGS 23 LLC DBA HOLMESBURG PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2015-06-15",
"status": "A",
"authorized_official_last_name": "TANCREDI",
"authorized_official_first_name": "MARCUS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "215-332-2400",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016176340001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.