Destiny Pharmacy of America Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482548 Issued in PA

Legal business name

DESTINY PHARMACY OF AMERICA INC.

Doing business as

DESTINY PHARMACY

Practice address

6037 Woodland Ave
Philadelphia, PA 19142-2417

Phone

(215) 796-9381

Fax

(215) 921-5247

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Akinola Ayodele Shasanya, RPHNPI 1760850093

Title

President

Phone

(215) 796-9381

Specialties & licenses 1

Addresses

Other names 1

• DESTINY PHARMACY Doing business as

Locations

Practitioners 1

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

• Akinola Shasanya, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1760850093
  NPD (past) Authorized official

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1831579036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 ORPHEUS PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531717",
            "telephone_number": "267-257-5868",
            "fax_number": "215-921-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422417",
            "telephone_number": "215-796-9381",
            "fax_number": "215-921-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY PHARMACY OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "SHASANYA",
        "authorized_official_first_name": "AKINOLA",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-796-9381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESTINY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ed J Destefano, CRNA
• Nicole Destefano, CRNP
• Michael Anthony Destefon, OTR
• Destiny Homecare, LLC.
• Destiny Ife Inc
• Destiny'S Gift
• Gladys Desvarieux
• Detention Management Solutions
• Matthew Detore, MPT
• John Alan Detre, MD

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, 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 Jan 26, 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.