NPIMap

Organization Active NPI

Dej Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1043394174
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410356L Issued in PA
Legal business name
DEJ INC
Practice address
800 W Moyamensing Ave
Philadelphia, PA 19148-3709
Phone
(215) 334-1833
Fax
(215) 334-5046
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernest CocciaNPI 1760701015
Title
VP
Phone
(215) 313-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP410356L PA Primary

Addresses

Primary practice location

800 W Moyamensing Ave
Philadelphia, PA 19148-3709

Mailing address

800 W Moyamensing Ave
Philadelphia, PA 19148-3709
Phone (215) 334-1833

Other identifiers 2

IdentifierTypeStateIssuer
0008659020003MedicaidPA
2086580OtherPK

Other names 1

  • CENTER APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

800 W Moyamensing Ave
Philadelphia, PA 19148
Phone (215) 334-1833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1043394174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483709",
            "telephone_number": "215-334-1833",
            "fax_number": "215-334-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483709",
            "telephone_number": "215-334-1833",
            "fax_number": "215-334-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "COCCIA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "215-313-5512"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410356L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008659020003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.