NPIMap

Organization Active NPI

Atrium Corporation

Doing business as Jefferson Pharmacy - Walnut Street

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1144314048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481425 Issued in PA
Legal business name
ATRIUM CORPORATION
Doing business as
Jefferson Pharmacy - Walnut Street
Practice address
908 Walnut Street
Philadelphia, PA 19107-5564
Phone
(215) 503-1135
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Lewis
Title
President
Phone
(215) 955-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481425 PA Primary

Addresses

Primary practice location

908 Walnut Street
Philadelphia, PA 19107-5564

Mailing address

908 Walnut Street
Philadelphia, PA 19107-5564

Other identifiers 2

IdentifierTypeStateIssuer
3928744OtherNCPDP NUMBER
0072347630002MedicaidPA

Other names 1

  • Jefferson Pharmacy - Walnut Street Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atrium Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

908 Walnut St
Philadelphia, PA 19107
Phone (215) 503-1135

Practitioners & affiliated clinicians

Practitioners 4

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144314048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075564",
            "telephone_number": "215-503-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-955-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3928744",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072347630002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Pharmacy - Walnut Street",
            "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 Aug 22, 2020; 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.