Active NPI
Jennifer In
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1164798476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439770
- Practice address
- 9773 Roosevelt Blvd
Philadelphia, PA 19114-1010 - Phone
- (215) 673-0747
- Fax
- (215) 973-2050
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP439770 | PA | Primary |
Addresses
Primary practice location
9773 Roosevelt Blvd
Philadelphia, PA 19114-1010
Mailing address
9773 Roosevelt Blvd
Philadelphia, PA 19114-1010
Phone (215) 673-0747
Other practice location 1
1245 Highland Ave
Abington, PA 19001
Phone (215) 481-4318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP439770 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1578663928
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1164798476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9773 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141010",
"telephone_number": "215-673-0747",
"fax_number": "215-973-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9773 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141010",
"telephone_number": "215-673-0747",
"fax_number": "215-973-2050"
}
],
"practiceLocations": [
{
"address_1": "1245 Highland Ave",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "19001",
"country_code": "US",
"telephone_number": "215-481-4318",
"fax_number": "215-481-4434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 4, 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.