Organization Active NPI

Shwartz RX 5610 Inc.

Doing business as Overbrook Plaza Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1912550575
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SHWARTZ RX 5610 INC.
Doing business as
Overbrook Plaza Pharmacy
Practice address
5610 Lancaster Ave Ste 200
Philadelphia, PA 19131-3440
Phone
(215) 921-3656
Fax
(215) 921-3666
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Addisu Habte
Title
President
Phone
(215) 913-8567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5610 Lancaster Ave Ste 200
Philadelphia, PA 19131-3440

Mailing address

5610 Lancaster Ave Ste 200
Philadelphia, PA 19131-3440
Phone (215) 921-3656

Other names 1

  • OVERBROOK PLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5610 Lancaster Ave
Ste 200
Philadelphia, PA 19131
Phone (215) 921-3656

Practitioners & affiliated clinicians

Practitioners 1

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1912550575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 LANCASTER AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313440",
            "telephone_number": "215-921-3656",
            "fax_number": "215-921-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 LANCASTER AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313440",
            "telephone_number": "215-921-3656",
            "fax_number": "215-921-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHWARTZ RX 5610 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "ADDISU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-913-8567"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERBROOK PLAZA 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 22, 2019; 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.