Escript360 South Street LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ESCRIPT360 SOUTH STREET LLC

Practice address

601 S 10TH St
Philadelphia, PA 19147-1917

Phone

(267) 635-4576

Fax

(267) 635-4577

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Yuriy Davydov

Title

Member

Phone

(516) 604-0712

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Andrew Atterbury, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1609565779
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1851007694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PENNY POND CT",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481400",
            "telephone_number": "646-633-2170",
            "fax_number": "516-492-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471917",
            "telephone_number": "267-635-4576",
            "fax_number": "267-635-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCRIPT360 SOUTH STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "DAVYDOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-604-0712"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP482848",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina B Escobar, LCSW
• Melicia Escobar, MSN, CNM, WHNP-BC
• Melissa Escobar
• Talya L Escogido, PH.D.
• Maria Esther Escorcia de Leon, M.D.
• Stephanie Esgro
• John Kraybill Eshleman, D.O.
• Oshioke Esivue, M.D.
• Bentley Eskridge, MA, NCC
• Megan Eskridge, D.M.D.

• 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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.