Organization Active NPI

Neff Drugs 23 LLC Dba Holmesburg Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1639196090
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481594 Issued in PA
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

Updated by the provider on Jun 15, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1016176340001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Holmesburg Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.