Organization Active NPI

Just Here III

Doing business as Bustleton Pharmacy and Medical Supply

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1699183871
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482414 Issued in PA
Legal business name
JUST HERE III
Doing business as
Bustleton Pharmacy and Medical Supply
Practice address
7923A Bustleton Ave.
Philadelphia, PA 19152
Phone
(215) 821-3524
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Kwabena Asafo Boakye, PHARM. D.
Title
Pharmacist/Co-Owner
Phone
(267) 250-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482414 PA Primary

Addresses

Primary practice location

7923A Bustleton Ave.
Philadelphia, PA 19152

Mailing address

7923A Bustleton Ave.
Philadelphia, PA 19152
Phone (215) 821-3524

Other names 1

  • BUSTLETON PHARMACY AND MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1699183871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923A BUSTLETON AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-821-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7923A BUSTLETON AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-821-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST HERE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_middle_name": "ASAFO",
        "authorized_official_title_or_position": "PHARMACIST/CO-OWNER",
        "authorized_official_telephone_number": "267-250-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUSTLETON PHARMACY AND MEDICAL SUPPLY",
            "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 Jul 31, 2014; 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.