Edison Square Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482552 Issued in PA

Legal business name

EDISON SQUARE PHARMACY

Practice address

701 W Lehigh Ave
Philadelphia, PA 19133-2233

Phone

(267) 687-2085

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Joseph J Urban III

Title

Manager

Phone

(267) 687-2085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435968000000",
    "number": "1699153882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332233",
            "telephone_number": "267-687-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332233",
            "telephone_number": "267-687-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON SQUARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-07-04",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-687-2085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Edger, PT
• Mary Elizabeth Edger, CRNP
• Chelsea Dinisha Edirisuriya
• Gemini Ediriweera
• Edison Square Pharmacy
• Merritt Parker Edlind
• Edm Counseling and Wellness
• Christine Elizabeth Edmonds
• Donna L Edmonds
• Elizabeth Edmonds, OTR/L

• 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 Jul 4, 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.