Organization Active NPI

Oak Lane Pharmacy Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1801067129
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481792 Issued in PA
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

Updated by the provider on Feb 14, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2082491OtherPK

Other names 1

  • OAK LANE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.