NPIMap

Organization Active NPI

Penn Prespyterian Medical Center of the University of Pennsylvania Hea

Doing business as Penn Medicine Cherry Hill Pharmacy

  • Specialty Pharmacy
  • Cherry Hill, NJ
National Provider Identifier
1093453011
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PENN PRESPYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Doing business as
Penn Medicine Cherry Hill Pharmacy
Practice address
1865 Route 70 East
Suite 180
Cherry Hill, NJ 08003
Phone
(856) 433-2877
Fax
(856) 396-3416
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Mr. Robert Russell
Title
Associate Executive Director/Coo
Phone
(215) 662-9108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1865 Route 70 East
Suite 180
Cherry Hill, NJ 08003

Mailing address

51 N 39TH Street
Cupp Basement-Pharmacy
Philadelphia, PA 19104
Phone (215) 662-8213

Other names 1

  • Penn Medicine Cherry Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Med Ctr15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

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": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1093453011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH STREET",
            "address_2": "CUPP BASEMENT-PHARMACY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-8213",
            "fax_number": "215-243-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "SUITE 180",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-433-2877",
            "fax_number": "856-396-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN PRESPYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR/COO",
        "authorized_official_telephone_number": "215-662-9108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Medicine Cherry Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.