Washington Square Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411092L Issued in PA

Legal business name

WASHINGTON SQUARE PHARMACY INC

Doing business as

WASHINGTON SQUARE PHARMACY INC

Practice address

241 S 6TH St
Philadelphia, PA 19106-3727

Phone

(215) 925-1466

Fax

(215) 829-0820

NPI assigned

Feb 11, 2006

Organization subpart

No

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

Authorized official

Name

Gerard Volgraf, RPH

Title

President

Phone

(215) 925-1466

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WASHINGTON SQUARE PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1679546360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063727",
            "telephone_number": "215-925-1466",
            "fax_number": "215-829-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063727",
            "telephone_number": "215-925-1466",
            "fax_number": "215-829-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-11",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "VOLGRAF",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-925-1466",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411092L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000528970002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON SQUARE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Washek
• Brianna Washington Banks
• Washington Investment Team, LLC
• Washington Square Chiropractic Center, L.L.C.
• Washington Square Endoscopy Center, LLC
• Ava Rae Washington, WHNP-BC
• Ealia Kendra Washington, BS, PHARMD
• Jayah Washington
• Jordan-Iman Washington
• Kiara L Washington, LSW

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.