RIDGE DISCOUNT PHARMACY LLC (NPI# 1447632427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447632427 |
| Entity Type | Organization |
| Organization Name | RIDGE DISCOUNT PHARMACY LLC |
| Practice Address |
1406a Ridge Ave Philadelphia PA 19130-2914 |
| Practice Telephone | 2675193387 |
| Practice Fax Number | 2675193429 |
| Mailing Telephone | 2675193387 |
| Mailing Fax Number | 2675193429 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | MR. SAI S VUYYURU (PRESIDENT) |
| Authorized Official Telephone | 2676645029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482564 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PHARMACY LICENSE | PP482564 | 01 |
| Street Address |
1406A RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362345 | Van Ngoc Au | Pharmacist | 1406a Ridge Ave, Philadelphia, PA 19130-2914 | 2020-10-05 |
| 1609401322 | John Mathew | Pharmacist | 1406a Ridge Ave, Philadelphia, PA 19130-2914 | 2020-03-04 |
| 1306352968 | Mohamed H Shabana | Pharmacist | 1406a Ridge Ave, Philadelphia, PA 19130-2914 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 1295355428 | Joe's Pharmacy | Pharmacy | 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 | 2020-04-17 |
| 1114559713 | Broad and Snyder Pharmacy P C | Pharmacy | 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 | 2020-02-11 |
| 1194355172 | Wyoming Pharmacy LLC | Pharmacy | 333 E Wyoming Ave, Philadelphia, PA 19120-4434 | 2020-01-18 |
| 1154951267 | Nextdoor Community Pharmacy Inc | Pharmacy | 814 1/2 N 40th St, Philadelphia, PA 19104-4802 | 2020-01-17 |
| 1962048678 | Capsule Philadelphia LLC | Pharmacy | 117 S 20th St, Philadelphia, PA 19103-4606 | 2019-11-18 |
| 1891330031 | Penncare Pharmacy | Pharmacy | 416 Oak Ln, Philadelphia, PA 19126-3136 | 2019-11-12 |
| 1043871874 | Ritechoice Pharmacy V, LLC | Pharmacy | 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 | 2019-06-24 |
| 1366000564 | Allegheny Plaza Pharmacy | Pharmacy | 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 | 2019-06-03 |
| 1770146367 | Medly Pharmacy Pa Inc. | Pharmacy | 1222 Walnut St, Philadelphia, PA 19107-5466 | 2019-04-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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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.