Organization Active NPI

S S Healthcare Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1689245243
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
S S HEALTHCARE INC
Practice address
4925 N 5TH St
Philadelphia, PA 19120-3809
Phone
(215) 690-5400
Fax
(215) 690-5670
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Mr. Mitesh PatelNPI 1679296495
Title
President
Phone
(215) 690-5400

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4925 N 5TH St
Philadelphia, PA 19120-3809

Mailing address

4925 N 5TH St
Philadelphia, PA 19120-3809
Phone (215) 690-5400

Other names 1

  • ATLAS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208000036 PA Part B Supplier - Pharmacy 4183094865 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

4925 N 5th St
Philadelphia, PA 19120
Phone (201) 360-1255

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": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1689245243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-690-5400",
            "fax_number": "215-690-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203809",
            "telephone_number": "215-690-5400",
            "fax_number": "215-690-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S S HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-690-5400",
        "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": "ATLAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATLAS 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 Jun 8, 2022; 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.