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OAKLANE PHARMACY 1 LLC NPI 1942751417


NPI Information

NPI: 1942751417
Provider Name: OAKLANE PHARMACY 1 LLC

Doing Business As: OAKLANE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
6724 OLD YORK RD.
PHILADELPHIA, PA
ZIP 19126
Phone: (215) 924-9929
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OAKLANE PHARMACY 1 LLC is a pharmacy in Philadelphia, PA. The provider is 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. OAKLANE PHARMACY 1 LLC NPI is 1942751417. The provider is registered as an organization entity type.
The provider Is Doing Business As Oaklane Pharmacy.

The provider's business location address is:

6724 OLD YORK RD.
PHILADELPHIA, PA
ZIP 19126
Phone: (215) 924-9929
Fax: (215) 924-4847

The provider's authorized official is Samir Patel .
The authorized official title is Owner and has the following contact phone number (215) 924-9929.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 12/4/2019.


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
1333600000XPharmacyYes
23336C0003XPharmacyCommunity/Retail PharmacyPP481792PENNSYLVANIANo

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
11032381210001MEDICAIDPENNSYLVANIA
22165985OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.