Active NPI
Erin Victoria Cirillo
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1811641475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP040642L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015440460001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP040642L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Philadelphia Pharmacy Inc | Past | Accepting new patients | |
| Independent Apothecary Incorporated | Past | 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.
-
dba Olde Philly Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1760402606
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.