Active NPI
Just Here III
Doing business as Bustleton Pharmacy and Medical Supply
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1699183871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482414
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.