Organization Active NPI

Philly Drugstore LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1780822155
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410620L Issued in PA
Legal business name
PHILLY DRUGSTORE LLC
Practice address
2729 N 5TH St
Philadelphia, PA 19133-2702
Phone
(215) 423-1368
Fax
(215) 423-0244
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Chadd B LevineNPI 1598957813
Title
Partner/Chief Pharmacist
Phone
(215) 423-1368

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 PP410620L PA Primary

Addresses

Primary practice location

2729 N 5TH St
Philadelphia, PA 19133-2702

Mailing address

2729 N 5TH St
Philadelphia, PA 19133-2702
Phone (215) 423-1368

Other names 1

  • Philly Drugstore Other name

National Provider Directory

National Provider Directory

Locations

2729 N 5th St
Philadelphia, PA 19133
Phone (215) 423-1368

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": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1780822155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332702",
            "telephone_number": "215-423-1368",
            "fax_number": "215-423-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332702",
            "telephone_number": "215-423-1368",
            "fax_number": "215-423-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLY DRUGSTORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "CHADD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "215-423-1368",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410620L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philly Drugstore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 15, 2011; 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.