Individual provider Active NPI

Luyla Eid

  • Pharmacist
  • Phila, PA
National Provider Identifier
1871187096
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP455432 Issued in PA
Practice address
9773 Roosevelt Blvd
Phila, PA 19114-1010
Phone
(215) 673-0747
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP455432 PA Primary

Addresses

Primary practice location

9773 Roosevelt Blvd
Phila, PA 19114-1010

Mailing address

6515 Castor Ave
Phila, PA 19149-2708
Phone (215) 673-0747

Other identifiers 1

IdentifierTypeStateIssuer
6309OtherPANPI

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL RITEAID
Other URL riteaid Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP455432PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc PastSince Mar 7, 2021 Accepting new patients
Thrift Drug Inc PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1871187096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 CASTOR AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191492708",
            "telephone_number": "215-673-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9773 ROOSEVELT BLVD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191141010",
            "telephone_number": "215-673-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "LUYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP455432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "6309",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RITEAID",
            "affiliation": "N",
            "address_1": "9773 Roosevelt Blvd",
            "city": "Phila",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191141010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid",
            "affiliation": "N",
            "endpointDescription": "store number 11127",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "riteaid",
            "address_1": "9773 Roosevelt Blvd",
            "city": "Phila",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191141010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.