Shwartz RX 4017 Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHWARTZ RX 4017 INC.

Practice address

4027 Market St
Philadelphia, PA 19104-3002

Phone

(215) 921-5660

Fax

(215) 921-5497

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Addisu Habte

Title

Owner

Phone

(215) 913-8567

Specialties & licenses 1

Addresses

Other names 1

• Campus Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1952942609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043002",
            "telephone_number": "215-921-5660",
            "fax_number": "215-921-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043002",
            "telephone_number": "215-921-5660",
            "fax_number": "215-921-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHWARTZ RX 4017 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "ADDISU",
        "authorized_official_title_or_position": "OWNER",
        "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": "Campus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Shusterman, D.O.
• Jamie Shuttlesworth
• Alina Shvartsburg, RPH
• Bella Shvartzman, B.S.
• Asaf Y. Shvero, MD
• Shwartz RX 5610 Inc.
• Ehyal Shweiki, MD
• Kerry Halm Shweiki, CRNP
• Grace F Shyu, PA-C
• Mahad Siad, MD

• Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.