5 Star Pharmacy & Medical Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482329 Issued in PA

Legal business name

5 STAR PHARMACY & MEDICAL SUPPLY INC

Doing business as

5 Star Pharmacy & Medical Supply

Practice address

209 2ND Street Pike
Southampton, PA 18966-3833

Phone

(215) 355-2004

Fax

(215) 355-6001

NPI assigned

Nov 6, 2012

Last updated

Apr 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernando Rodriguez

Title

President

Phone

(267) 997-1220

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 5 Star Pharmacy & Medical Supply Doing business as

Practitioners 2

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.

• Jency Cheriyan

  • Pharmacist
  • Southampton, PA
  • NPI 1093571853
  NPD (past)
• Michael Gibilante I

  • Pharmacist
  • Southampton, PA
  • NPI 1629626775
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1902150394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663833",
            "telephone_number": "215-355-2004",
            "fax_number": "215-355-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663833",
            "telephone_number": "215-355-2004",
            "fax_number": "215-355-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR PHARMACY & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-997-1220"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029812060001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Star Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 2ND Street Pike Family Dental PC
• 3 Sisters Enterprise (5 Star Pharmacy & Medical Supply)
• A & M Medical Supply, Inc
• Aaron Shiloh, MD LLC
• Abington Memorial Hospital (Medical Associates of Southampton)
• Abington Memorial Hospital (Jerry M. Roth M.D. F.A.C.P.)
• Abington Memorial Hospital (BuxMont Primary Care)

• Community/Retail Pharmacy in Southampton, PA
• Providers in Southampton, 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 19, 2017; 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.