Yorktown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482628 Issued in PA

Legal business name

YORKTOWN PHARMACY LLC

Doing business as

Yorktown Pharmacy

Practice address

8110 Old York Rd Ste B
Elkins Park, PA 19027-1430

Phone

(267) 282-0070

Fax

(267) 282-0071

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Binta Patel, BS PHARM.

Title

Owner

Phone

(267) 282-0070

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Yorktown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Darla Annette Gallo

  • Pharmacist
  • Elkins Park, PA
  • NPI 1932790839
  NPD
• Ankur Shah

  • Pharmacist
  • Edison, NJ
  • NPI 1871184960
  NPD

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1790146736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 OLD YORK RD STE B",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271430",
            "telephone_number": "267-282-0070",
            "fax_number": "267-282-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 OLD YORK RD STE B",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271430",
            "telephone_number": "267-282-0070",
            "fax_number": "267-282-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BINTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-282-0070",
        "authorized_official_credential": "BS PHARM."
    },
    "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": "PP482628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031162090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorktown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Rochelle Wolf, ATR-BC, ATCS, LPC
• Nadia Wyrsta
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• Muriel L Young, M.D.
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• Andrew Zalewski, M.D.
• Alison Maria Zebron, PT

• Community/Retail Pharmacy in Elkins Park, PA
• Providers in Elkins Park, 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 Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.