GLENDALE PRESCRIPTION CENTER INC (NPI# 1598760639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598760639 |
| Entity Type | Organization |
| Organization Name | GLENDALE PRESCRIPTION CENTER INC |
| Other Organization Name | GLENDALE PRESCRIPTION CENTER |
| Practice Address |
7601 Castor Ave Ste 100 Lobby Philadelphia PA 19152-4026 |
| Practice Telephone | 2157226200 |
| Practice Fax Number | 2157226211 |
| Mailing Telephone | 2157226200 |
| Mailing Fax Number | 2157226211 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | STEVE TAMMARA (PHARMACIST OWNER) |
| Authorized Official Telephone | 2157226200 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481117 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018827750002 | 05 | |
| PK | 2085890 | 01 |
| Other Name | Type Code |
|---|---|
| GLENDALE PRESCRIPTION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114960994 | Glendale Prescription Center Inc | Pharmacy | 5322 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-06-13 |
| Street Address |
7601 CASTOR AVE STE 100 LOBBY |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356477129 | Kinni Eyecare, Inc. | Optometrist | 7601 Castor Ave, Suite 204, Philadelphia, PA 19152-4026 | 2007-02-26 |
| 1265595342 | Joseph Edward Gian Grasso | Dentist | 7601 Castor Ave, Suite 300, Philadelphia, PA 19152 | 2006-12-19 |
| 1427126184 | Tomoyasu Fuji | Dentist | 7601 Castor Ave, Suite 300, Philadelphia, PA 19152 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| 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] |
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| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on GLENDALE PRESCRIPTION CENTER INC.
| 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.