SUNRAY CHESTER LLC


Address: 5518 Chester Ave, Philadelphia, PA 19143-5328
Phone: 2157292000

SUNRAY CHESTER LLC (NPI# 1487112405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487112405
Entity Type Organization
Organization Name SUNRAY CHESTER LLC
Practice Address 5518 Chester Ave
Philadelphia
PA 19143-5328
Practice Telephone 2157292000
Practice Fax Number 2157292400
Mailing Telephone 2157292000
Mailing Fax Number 2157292400
Enumeration Date 2019-03-08
Last Update Date 2019-03-08
Authorized Official Name MR. JIMMY LUU (MEMBER)
Authorized Official Telephone 2157292000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA STATE PHARMACY LICENSE PP482856 01

Other Provider/Organization Names

Other Name Type Code
Sunray Drugs Chester Ave Doing Business As Name - Organization

Office Location

Street Address 5518 CHESTER AVE
City PHILADELPHIA
State PA
Zip Code 19143-5328

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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

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1669954210 Wellmart Pharmacy Inc. Pharmacy 2363 E Allegheny Ave, Philadelphia, PA 19134-4431 2018-08-30
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1154827103 Gilead Pharmacy Inc Pharmacy 1226 N 52nd St Fl 1, Philadelphia, PA 19131-4315 2018-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

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.

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