Active NPI
Rising Sun Pharmacy Inc
- Community/Retail Pharmacy
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482458
- Legal business name
- RISING SUN PHARMACY INC
- Practice address
- 500 Devereaux Ave
A
Philadelphia, PA 19111-5767 - Phone
- (215) 613-6272
- Fax
- (215) 613-7093
- NPI assigned
- Aug 14, 2014
- 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
- Mrs. Bindu Mathew, RPH
- Title
- Owner/Pharmacist
- Phone
- (267) 977-8259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP482458 | PA | Primary |
Addresses
Primary practice location
500 Devereaux Ave
A
Philadelphia, PA 19111-5767
Mailing address
9307 Laramie Rd
Philadelphia, PA 19115-2737
Phone (267) 977-8259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240614001595 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274076575 | Practice locations: Philadelphia, PA |
| O20250418001171 | PA | DME Supplier - Pharmacy | 3274076575 | Practice locations: Philadelphia, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rising Sun Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
500 Devereaux Ave
#A
Philadelphia, PA 19111
Phone (215) 613-6272
500 Devereaux Ave
Ste A
Philadelphia, PA 19111
Phone (215) 613-6272
Practitioners & 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 1821317140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1679972780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9307 LARAMIE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152737",
"telephone_number": "267-977-8259",
"fax_number": "215-613-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DEVEREAUX AVE",
"address_2": "A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191115767",
"telephone_number": "215-613-6272",
"fax_number": "215-613-7093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING SUN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "BINDU",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "267-977-8259",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP482458",
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.