OrganizationActiveAccepts Medicare
Brewerytown Rx Inc
NPI 1881997336 · Community/Retail Pharmacy · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1881997336
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Justice Hagan, Pharmacy Manager(267) 773-8349
- License
- PP482063 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2621 W Girard Ave
Philadelphia, PA 19130-1333
Phone: (267) 773-8349
Street-level locationGet directions
Mailing address
2621 W Girard Ave
Philadelphia, PA 19130-1333
Registry dates
- Enumerated
- 2010-12-06
- Last updated
- 2017-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.