Provider Demographics
NPI:1912906165
Name:MEDSCENE INC.
Entity Type:Organization
Organization Name:MEDSCENE INC.
Other - Org Name:CROWN DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMSHID
Authorized Official - Middle Name:B
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-624-4224
Mailing Address - Street 1:6519 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-2538
Mailing Address - Country:US
Mailing Address - Phone:215-624-4224
Mailing Address - Fax:215-624-4416
Practice Address - Street 1:6519 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-2538
Practice Address - Country:US
Practice Address - Phone:215-624-4224
Practice Address - Fax:215-624-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028768L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0929510001Medicare NSC