Active NPI
Tabula Rasa Healthcare Group, Inc.
Doing business as CareKinesis
- Long Term Care Pharmacy
- Moorestown, NJ
National Provider Identifier
1053624593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 113728
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- TABULA RASA HEALTHCARE, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053624593 | Medicaid | IL | |
| 22470760 | Medicaid | CO | |
| 0253316 | Medicaid | NJ | |
| 2125914 | Other | PK | |
| 102567985001 | Medicaid | PA |
Other names 1
- CareKinesis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220929000928 | NJ | Part B Supplier - Pharmacy | 0143402099 | Practice locations: Moorestown, NJ |
National Provider Directory
National Provider DirectoryMember 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.
-
- Geriatric Pharmacist
- Moorestown, NJ
- NPI 1790305373
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.