Individual provider Active NPI

Erin Victoria Cirillo

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1811641475
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP040642L Issued in PA
Practice address
2923 E Thompson St
Philadelphia, PA 19134-4812
Phone
(215) 739-0548
Fax
(215) 739-1579
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP040642L PA Primary

Addresses

Primary practice location

2923 E Thompson St
Philadelphia, PA 19134-4812

Mailing address

280 Brownsburg Rd
Newtown, PA 18940-9663
Phone (609) 841-1721

Other identifiers 1

IdentifierTypeStateIssuer
1015440460001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Philadelphia Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP040642LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
My Philadelphia Pharmacy Inc PastSince Feb 13, 2022 Accepting new patients
Independent Apothecary Incorporated PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1811641475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROWNSBURG RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189409663",
            "telephone_number": "609-841-1721"
        },
        {
            "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": {
        "last_name": "CIRILLO",
        "first_name": "ERIN",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP040642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015440460001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Philadelphia",
            "address_1": "2923 E Thompson St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191344812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 11, 2022; 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.