Provider Demographics
NPI:1053328161
Name:SILVERMAN PHARMACY, INC
Entity Type:Organization
Organization Name:SILVERMAN PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARACCIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-465-3081
Mailing Address - Street 1:2501 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4601
Mailing Address - Country:US
Mailing Address - Phone:215-465-3081
Mailing Address - Fax:215-465-7786
Practice Address - Street 1:2501 S 7TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-4601
Practice Address - Country:US
Practice Address - Phone:215-465-3081
Practice Address - Fax:215-465-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412920L332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001658250Medicaid
3907891OtherNCPDP
3907891OtherNCPDP