Organization Active NPI

BT Enterprises

Doing business as Trans Drug Store

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1861749806
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482312 Issued in PA
Legal business name
BT ENTERPRISES
Doing business as
Trans Drug Store
Practice address
5466 Spruce St
Philadelphia, PA 19139-4060
Phone
(215) 747-4700
Fax
(215) 747-4701
NPI assigned
Aug 9, 2012
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Bao Tran, PHARMD
Title
President
Phone
(215) 747-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482312 PA Primary

Addresses

Primary practice location

5466 Spruce St
Philadelphia, PA 19139-4060

Mailing address

5466 Spruce St
Philadelphia, PA 19139-4060
Phone (215) 747-4700

Other identifiers 2

IdentifierTypeStateIssuer
1024216210003MedicaidPA
2136390OtherPK

Other names 1

  • Trans Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BT Enterprises3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5466 Spruce St
Philadelphia, PA 19139
Phone (215) 747-4700

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1861749806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5466 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394060",
            "telephone_number": "215-747-4700",
            "fax_number": "215-747-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5466 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394060",
            "telephone_number": "215-747-4700",
            "fax_number": "215-747-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-747-4700",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PP482312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024216210003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trans Drug Store",
            "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 Jun 21, 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.