Organization Active NPI

Park Prescriptions, Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1952307217
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413356L Issued in PA
Legal business name
PARK PRESCRIPTIONS, INC.
Doing business as
Park Prescriptions, Inc.
Practice address
4000 N 9TH St
Philadelphia, PA 19140-2209
Phone
(215) 229-5556
Fax
(215) 229-8198
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mr. Stanley F Smith, RPH
Title
President
Phone
(215) 229-5556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PP413356L PA Primary

Addresses

Primary practice location

4000 N 9TH St
Philadelphia, PA 19140-2209

Mailing address

4000 N 9TH St
Philadelphia, PA 19140-2209
Phone (215) 229-5556

Other identifiers 2

IdentifierTypeStateIssuer
3930939OtherNABP
0005702270001MedicaidPA

Other names 1

  • Park Prescriptions, Inc. Doing business as

National Provider Directory

National Provider Directory

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1952307217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402209",
            "telephone_number": "215-229-5556",
            "fax_number": "215-229-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402209",
            "telephone_number": "215-229-5556",
            "fax_number": "215-229-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PRESCRIPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-229-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413356L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3930939",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005702270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Prescriptions, Inc.",
            "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 Nov 24, 2009; 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.