BROWN'S PARKSIDE, LLC (NPI# 1669646493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669646493 |
| Entity Type | Organization |
| Organization Name | BROWN'S PARKSIDE, LLC |
| Other Organization Name | SHOPRITE PHARMACY OF PARKSIDE |
| Practice Address |
1575 N 52nd St Ste 400 Philadelphia PA 19131-4736 |
| Mailing Address |
Po Box 15169 Newark NJ 07192-5169 |
| Practice Telephone | 2152208800 |
| Practice Fax Number | 2152208888 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR) |
| Authorized Official Telephone | 7325218439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481826 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3990202 | 01 |
| Other Name | Type Code |
|---|---|
| Shoprite Pharmacy of Parkside | Doing Business As Name - Organization |
| Street Address |
1575 N 52ND ST STE 400 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073586178 | Tariq Hafiz | Internal Medicine | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2006-02-09 |
| 1306346317 | Danise Hightower | Specialist/Technologist | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2018-02-15 |
| 1275086936 | Sagar Chauhan | Dentist | 1575 N 52nd St, Suite 705, Philadelphia, PA 19131-4736 | 2016-07-29 |
| 1558781393 | Tarisai Githu | Dentist | 1575 N 52nd St, 17 North 2nd Street, Philadelphia, PA 19131-4736 | 2014-04-20 |
| 1285072975 | Jordan Shea Bower | Dentist | 1575 N 52nd St, Philadelphia, PA 19131 | 2013-06-05 |
| 1255619920 | Elite Dental, LLC | Dentist | 1575 N 52nd St, Suite 705, Philadelphia, PA 19131-4736 | 2011-07-29 |
| 1831377043 | Joseph John Mcglynn Jr. | Pharmacist | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2008-02-11 |
| 1730384637 | Courtney A Waters | Internal Medicine | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2007-06-19 |
| 1760416796 | Sophie Parker | Internal Medicine | 1575 N 52nd St, Philadelphia, PA 19131-4736 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| 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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| 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 | 19131 |
Please comment or provide details below to improve the information on BROWN'S PARKSIDE, LLC.
| 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.