NPIMap

Organization Active NPI

My Philadelphia Pharmacy Inc

Doing business as Your Philly Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1871137208
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MY PHILADELPHIA PHARMACY INC
Doing business as
Your Philly Pharmacy
Practice address
2901 E Thompson St
Front Store
Philadelphia, PA 19134
Phone
(609) 560-8082
NPI assigned
Oct 29, 2019
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Amber Dzikowski
Title
President
Phone
(609) 560-8082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2901 E Thompson St
Front Store
Philadelphia, PA 19134

Mailing address

2901 E Thompson St
Front Store
Philadelphia, PA 19134
Phone (609) 560-8082

Other names 1

  • Your Philly Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1871137208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E THOMPSON ST",
            "address_2": "FRONT STORE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "609-560-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E THOMPSON ST",
            "address_2": "FRONT STORE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "609-560-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHILADELPHIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "DZIKOWSKI",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-560-8082"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Philly 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 Jul 15, 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.