Organization Active NPI

Tabula Rasa Healthcare Group, Inc.

Doing business as CareKinesis

  • Long Term Care Pharmacy
  • Moorestown, NJ
National Provider Identifier
1053624593
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
113728 Issued in AL
Legal business name
TABULA RASA HEALTHCARE GROUP, INC.
Doing business as
CareKinesis
Practice address
228 Strawbridge Dr
Ste 200
Moorestown, NJ 08057-4600
Phone
(888) 974-2763
Fax
(856) 273-0135
NPI assigned
Jul 26, 2010
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TABULA RASA HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Sarah Fenwick
Title
Sr. Vice President
Phone
(216) 487-1641

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 113728 AL Primary
Long Term Care Pharmacy 3336L0003X A9-0001576 DE
Long Term Care Pharmacy 3336L0003X 12394 NC
Long Term Care Pharmacy 3336L0003X 54019552 IL
Long Term Care Pharmacy 3336L0003X 64001638A IN
Long Term Care Pharmacy 3336L0003X P06949 MD
Long Term Care Pharmacy 3336L0003X PHY.007106-NR LA
Long Term Care Pharmacy 3336L0003X PHA-MOPA-LIC-40040 MT
Long Term Care Pharmacy 3336L0003X 5301010646 MI
Long Term Care Pharmacy 3336L0003X 22-100635 KS
Long Term Care Pharmacy 3336L0003X OSP.0005948 CO
Long Term Care Pharmacy 3336L0003X 265109 MN
Long Term Care Pharmacy 3336L0003X PH29393 FL
Long Term Care Pharmacy 3336L0003X 4486 IA
Long Term Care Pharmacy 3336L0003X 908 NE

Addresses

Primary practice location

228 Strawbridge Dr
Ste 200
Moorestown, NJ 08057-4600

Mailing address

228 Strawbridge Dr
Ste 200
Moorestown, NJ 08057-4600
Phone (888) 974-2763

Other identifiers 5

IdentifierTypeStateIssuer
1053624593MedicaidIL
22470760MedicaidCO
0253316MedicaidNJ
2125914OtherPK
102567985001MedicaidPA

Other names 1

  • CareKinesis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220929000928 NJ Part B Supplier - Pharmacy 0143402099 Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

228 Strawbridge Dr
Ste 200
Moorestown, NJ 08057
Phone (888) 680-8983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1053624593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 STRAWBRIDGE DR",
            "address_2": "STE 200",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574600",
            "telephone_number": "888-974-2763",
            "fax_number": "856-273-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 STRAWBRIDGE DR",
            "address_2": "STE 200",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574600",
            "telephone_number": "888-974-2763",
            "fax_number": "856-273-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA RASA HEALTHCARE GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TABULA RASA HEALTHCARE, INC.",
        "enumeration_date": "2010-07-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FENWICK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "216-487-1641"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "113728",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "DE",
            "license": "A9-0001576",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "12394",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "54019552",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "64001638A",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MD",
            "license": "P06949",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY.007106-NR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "PHA-MOPA-LIC-40040",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301010646",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "22-100635",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CO",
            "license": "OSP.0005948",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "265109",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH29393",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "4486",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053624593",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22470760",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253316",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125914",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102567985001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareKinesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.