Provider Demographics
NPI:1962485961
Name:SUNBEAM CAMBRIA INC.
Entity Type:Organization
Organization Name:SUNBEAM CAMBRIA INC.
Other - Org Name:CAMBRIA PHARMACIES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DHRUV
Authorized Official - Middle Name:
Authorized Official - Last Name:PADODARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-858-2062
Mailing Address - Street 1:2860 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-2712
Mailing Address - Country:US
Mailing Address - Phone:215-225-2886
Mailing Address - Fax:215-227-0114
Practice Address - Street 1:2860 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-2712
Practice Address - Country:US
Practice Address - Phone:215-225-2886
Practice Address - Fax:215-227-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP411737L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00570147Medicaid
2080607OtherPK
PA1007472960002Medicaid