Active NPI
Lansdowne Ave Pharmacy
- Pharmacy
- Philadelphia, PA
National Provider Identifier
1841296043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP481416
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983738 | Other | PA | NCPDB |
National Provider Directory
National Provider DirectoryLocations
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.