Dream Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482642 Issued in PA

Legal business name

DREAM PHARMACY LLC

Doing business as

Dream Pharmacy

Practice address

9808 Bustleton Ave Ste F
Philadelphia, PA 19115-2190

Phone

(215) 904-5548

Fax

(215) 904-5947

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Andrei Milenki

Title

Director

Phone

(215) 904-5548

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dream Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1992150882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 BUSTLETON AVE STE F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152190",
            "telephone_number": "215-904-5548",
            "fax_number": "215-904-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 BUSTLETON AVE STE F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152190",
            "telephone_number": "215-904-5548",
            "fax_number": "215-904-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "MILENKI",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-904-5548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031007460001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159832",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey A Drebin, MD
• Emily Drechsel, DO
• Jennifer Maria Drechsler, MD

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, 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 Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.