Ninth Street Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP412224L Issued in PA

Legal business name

NINTH STREET PHARMACY

Practice address

2400 S 9TH St
Philadelphia, PA 19148-3716

Phone

(215) 468-0497

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Yuri Sorochkin

Title

Supervising Pharmacist

Phone

(215) 468-0497

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669542197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 SEROTA DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483716",
            "telephone_number": "215-468-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINTH STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SOROCHKIN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "215-468-0497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP412224L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PP412224L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016918740001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3983966",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Nimoityn, MD
• Benny M Ninan
• Benson Ninan, PHARM D
• Amy Beth Nines, RN
• Ninth Street Internal Medicine Associates LTD
• Sujan Niraula, MD
• Amenda Elizabeth Nirshberg, DO
• Nirvana Comprehensive Care Services LLC
• Hifsa Un Nisa, MD
• Nupur Nischal

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.