Organization Active NPI

Lansdowne Ave Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1841296043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP481416 Issued in PA
Legal business name
LANSDOWNE AVE PHARMACY
Practice address
5943 Lansdowne Ave
Philadelphia, PA 19151-3932
Phone
(215) 877-0700
Fax
(215) 877-4700
NPI assigned
Jun 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan C Forbes
Title
Owner
Phone
(215) 877-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481416 PA Primary

Addresses

Primary practice location

5943 Lansdowne Ave
Philadelphia, PA 19151-3932

Mailing address

5943 Lansdowne Ave
Philadelphia, PA 19151-3932
Phone (215) 877-0700

Other identifiers 1

IdentifierTypeStateIssuer
3983738OtherPANCPDB

National Provider Directory

National Provider Directory

Locations

5943 Lansdowne Ave
Philadelphia, PA 19151
Phone (215) 877-0700

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841296043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513932",
            "telephone_number": "215-877-0700",
            "fax_number": "215-877-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513932",
            "telephone_number": "215-877-0700",
            "fax_number": "215-877-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSDOWNE AVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-877-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDB",
            "identifier": "3983738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.