NPIMap

Organization Active NPI

Riaz U Rahman

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1841419157
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413665L Issued in PA
Legal business name
RIAZ U RAHMAN
Practice address
4511 N 5TH St
Philadelphia, PA 19140-2309
Phone
(215) 457-5555
Fax
(215) 457-8340
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Riaz RahmanNPI 1811370760
Title
Owner
Phone
(215) 457-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP413665L PA Primary

Addresses

Primary practice location

4511 N 5TH St
Philadelphia, PA 19140-2309

Mailing address

4511 N 5TH St
Philadelphia, PA 19140-2309
Phone (215) 457-5555

Other identifiers 2

IdentifierTypeStateIssuer
2084799OtherPK
998121MedicaidPA

Other names 1

  • GETWELL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4511 N 5th St
Philadelphia, PA 19140
Phone (215) 457-5555

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1841419157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402309",
            "telephone_number": "215-457-5555",
            "fax_number": "215-457-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402309",
            "telephone_number": "215-457-5555",
            "fax_number": "215-457-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIAZ U RAHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-457-5555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413665L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084799",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GETWELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2016; 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.