Organization Active NPI

Urbancare Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1669860284
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 8, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411002838 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3072872654 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.