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TIRELLI INC NPI 1619056389


NPI Information

NPI: 1619056389
Provider Name: TIRELLI INC

Doing Business As: BROAD STREET APOTHECARY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2426 S BROAD ST
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 551-9485
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TIRELLI INC is a community/retail pharmacy pharmacy in Philadelphia, PA. The provider is 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. TIRELLI INC NPI is 1619056389. The provider is registered as an organization entity type.
The provider Is Doing Business As Broad Street Apothecary.

The provider's business location address is:

2426 S BROAD ST
PHILADELPHIA, PA
ZIP 19145-418
Phone: (215) 551-9485
Fax: (215) 468-7189

The provider's authorized official is Paul Tirotto .
The authorized official title is President and has the following contact phone number (215) 551-9485.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 2/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPP414268LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12079620OTHERPK
21182580MEDICAIDPENNSYLVANIA
30753200001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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