Timi Pharmaceuticals Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482192 Issued in PA

Legal business name

TIMI PHARMACEUTICALS INC

Practice address

6555 Greene St Ste 3
Philadelphia, PA 19119-4040

Phone

(215) 848-0500

Fax

(215) 848-0510

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Idayat Adewunmi

Title

President

Phone

(347) 574-4754

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Pelham Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1083994925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 GREENE ST STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194040",
            "telephone_number": "347-574-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 GREENE ST STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194040",
            "telephone_number": "215-848-0500",
            "fax_number": "215-848-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMI PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "ADEWUNMI",
        "authorized_official_first_name": "IDAYAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-574-4754"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482192",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026319500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pelham Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chuon Tim
• Kelly Ann Timbers, CRNP
• Elena Timchenko, CRNP
• Time and Patience at Home Care LLC
• Time of Need Home Care Services LLC
• Timi Pharmaceuticals Inc
• Timi Pharmaceuticals, Inc.
• Catherine Timko, CRNP
• Colleen Ann Timlin, PHARMD, BCOP
• Tyler Timmins, MD

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.