Organization Active NPI

Medcare LTC

  • Long Term Care Pharmacy
  • Philadelphia, PA
National Provider Identifier
1891753992
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP-481106 Issued in PA
Legal business name
MEDCARE LTC
Practice address
5325 Old York Rd
Philadelphia, PA 19141-2900
Phone
(215) 844-4500
Fax
(215) 844-4080
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Mr. Neal L. Benjamin, RPH, JDNPI 1750628376
Title
Owner
Phone
(215) 844-4500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PP-481106 PA Primary

Addresses

Primary practice location

5325 Old York Rd
Philadelphia, PA 19141-2900

Mailing address

PO Box 26639
Philadelphia, PA 19141-6639
Phone (215) 844-4500

Other identifiers 3

IdentifierTypeStateIssuer
0018733550001MedicaidPA
1891753992OtherPANPI
PP481106OtherPASTATE PHARMACY LICENSE NO

Other names 1

  • MedCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1891753992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26639",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191416639",
            "telephone_number": "215-844-4500",
            "fax_number": "215-844-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412900",
            "telephone_number": "215-844-4500",
            "fax_number": "215-844-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-844-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, JD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP-481106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018733550001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891753992",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE NO",
            "identifier": "PP481106",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedCare 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 Jun 8, 2022; 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.