Active NPI
Oak Lane Pharmacy Inc
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1801067129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481792
- Legal business name
- OAK LANE PHARMACY INC
- Practice address
- 6724 Old York Rd
Philadelphia, PA 19126-2840 - Phone
- (215) 924-9929
- Fax
- (215) 924-4847
- NPI assigned
- Mar 14, 2008
- 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
- Juanita Rathfon, RPH
- Title
- Owner
- Phone
- (215) 924-9929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP481792 | PA | Primary |
Addresses
Primary practice location
6724 Old York Rd
Philadelphia, PA 19126-2840
Mailing address
6724 Old York Rd
Philadelphia, PA 19126-2840
Phone (215) 924-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2082491 | Other | PK |
Other names 1
- OAK LANE PHARMACY
National Provider Directory
National Provider DirectoryLocations
6724 Old York Rd
Philadelphia, PA 19126
Phone (215) 924-9929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1801067129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6724 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191262840",
"telephone_number": "215-924-9929",
"fax_number": "215-924-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6724 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191262840",
"telephone_number": "215-924-9929",
"fax_number": "215-924-4847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK LANE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "RATHFON",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-924-9929",
"authorized_official_credential": "RPH"
},
"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": "PP481792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2082491",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAK LANE PHARMACY",
"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 Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.