Independent Apothecary Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481544 Issued in PA

Legal business name

INDEPENDENT APOTHECARY INCORPORATED

Doing business as

OLDE PHILLY PHARMACY

Practice address

2923 E Thompson St
Philadelphia, PA 19134-4812

Phone

(215) 739-0548

Fax

(215) 739-1579

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

James CirilloNPI 1619638160

Title

President/Owner

Phone

(215) 739-0548

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• OLDE PHILLY PHARMACY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Cirillo

  • Pharmacist
  • Philadelphia, PA
  • NPI 1619638160
  NPD Authorized official
• Erin Victoria Cirillo

  • Pharmacist
  • Philadelphia, PA
  • NPI 1811641475
  NPD (past)
• Christina J Scanlan, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1720733033
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1760402606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 E THOMPSON ST",
            "address_2": "1ST FLR FRONT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344812",
            "telephone_number": "215-739-0548",
            "fax_number": "215-739-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 E THOMPSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344812",
            "telephone_number": "215-739-0548",
            "fax_number": "215-739-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT APOTHECARY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "215-739-0548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481544",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015440460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLDE PHILLY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Independent Contractor
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• Independent Pharmacies Incorporated
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• Independent Physicians Medical Center, LLC

• 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 1, 2024; 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.