PHARMACY OF AMERICA IV INC. (NPI# 1215370291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215370291 |
| Entity Type | Organization |
| Organization Name | PHARMACY OF AMERICA IV INC. |
| Practice Address |
1900 N 9th St Philadelphia PA 19122 |
| Mailing Address |
4654 N 5th St Philadelphia PA 19140-1420 |
| Practice Telephone | 2672371188 |
| Practice Fax Number | 2157440333 |
| Mailing Telephone | 2672371188 |
| Mailing Fax Number | 2157440333 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | DR. SABRI IBRAHIM (PRESIDENT & CEO) |
| Authorized Official Telephone | 2672371188 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Street Address |
1900 N 9TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1043760200 | Kathleen Graham | Nurse Practitioner | 1900 N 9th St, Philadelphia, PA 19122 | 2016-10-11 |
| 1255780664 | Rebecca L Andriole | Psychologist | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2016-06-07 |
| 1871901819 | Naamah Cashaw-taylor | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2014-07-22 |
| 1306277132 | Michelle Elizabeth Buchholz | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2013-12-04 |
| 1710311345 | Jessica V Mcgill | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2013-08-30 |
| 1508097502 | Emily Carla Dubitzky | Social Worker | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2009-08-07 |
| 1407934383 | Lori Hunter Dixon | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-11-01 |
| 1174565428 | Kathleen Rowan Mahoney | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2006-06-12 |
| 1164464798 | Kathleen Boczar | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1346883451 | Dragon Pharmacy 99, LLC | Pharmacy | 2842 Saint Vincent St Unit A2, Philadelphia, PA 19149-1454 | 2019-10-21 |
| 1609417070 | Sdarbouze Apothecary Inc. | Pharmacy | 5751 N Broad St Ste 3, Philadelphia, PA 19141-2302 | 2019-10-07 |
| 1912550575 | Shwartz Rx 5610 Inc. | Pharmacy | 5610 Lancaster Ave Ste 200, Philadelphia, PA 19131-3440 | 2019-07-22 |
| 1487112405 | Sunray Chester LLC | Pharmacy | 5518 Chester Ave, Philadelphia, PA 19143-5328 | 2019-03-08 |
| 1669954210 | Wellmart Pharmacy Inc. | Pharmacy | 2363 E Allegheny Ave, Philadelphia, PA 19134-4431 | 2018-08-30 |
| 1902383185 | Tb Pharmacy Inc. | Pharmacy | 4931 N Broad St, Philadelphia, PA 19141-2215 | 2018-07-20 |
| 1154827103 | Gilead Pharmacy Inc | Pharmacy | 1226 N 52nd St Fl 1, Philadelphia, PA 19131-4315 | 2018-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.