Active NPI
Urbancare Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1669860284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- URBANCARE PHARMACY
- Practice address
- 169 W Lehigh Ave
Philadelphia, PA 19133-3832 - Phone
- (267) 858-4662
- Fax
- (267) 858-4454
- NPI assigned
- Jan 5, 2015
- 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
- Mr. Uday Gohel
- Title
- Manager
- Phone
- (267) 858-4662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
169 W Lehigh Ave
Philadelphia, PA 19133-3832
Mailing address
169 W Lehigh Ave
Philadelphia, PA 19133-3832
Phone (267) 858-4662
Other names 1
- UrbanCare Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180411002838 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072872654 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1235445867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512691200000",
"number": "1669860284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333832",
"telephone_number": "267-858-4662",
"fax_number": "267-858-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333832",
"telephone_number": "267-858-4662",
"fax_number": "267-858-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBANCARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-05",
"last_updated": "2017-12-08",
"status": "A",
"authorized_official_last_name": "GOHEL",
"authorized_official_first_name": "UDAY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "267-858-4662",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UrbanCare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 8, 2017; 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.