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PHARMACY AT RIDGE & MIDVALE
NPI 1609120930
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since November 08, 2012
4219 RIDGE AVE, PHILADELPHIA, PA 19129(267) 385-6024(267) 385-6238 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pharmacy At Ridge & Midvale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMACY AT RIDGE & MIDVALE (NPI 1609120930) is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since November 2012. The organization lists Kofi Dei Gbomita, Owner/president/ceo, as its authorized official.

NPPES Registry Identity

NPI1609120930
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACY AT RIDGE & MIDVALE
Location Address4219 RIDGE AVEPhiladelphia, PA 19129-1745
Mailing Address4219 Ridge AvePhiladelphia, PA 19129-1745 · (267) 385-6024 · Fax (267) 385-6238
Phone(267) 385-6024
Fax(267) 385-6238
Organization SubpartNo
Authorized OfficialKofi Dei GbomitaOwner/president/ceo · (267) 664-2388
Enumeration DateNovember 8, 2012
✔ NPI 1609120930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP482271
Definition
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.
4219 RIDGE AVE, Philadelphia, PA 19129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmacy At Ridge & Midvale's NPI number?

The NPI number for Pharmacy At Ridge & Midvale is 1609120930. It was assigned to this organization in the NPPES registry on November 8, 2012.

Where is Pharmacy At Ridge & Midvale located?

Pharmacy At Ridge & Midvale is located at 4219 Ridge Ave, Philadelphia, PA 19129. The listed phone number is (267) 385-6024.

What is Pharmacy At Ridge & Midvale's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Pharmacy At Ridge & Midvale was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.