Individual provider Active NPI

Christine Marie Voda

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1235308438
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP037722L Issued in PA
Practice address
85 Franklin Mills Blvd
Philadelphia, PA 19154-3109
Phone
(215) 612-1201
Fax
(215) 612-5864
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP037722L PA Primary

Addresses

Primary practice location

85 Franklin Mills Blvd
Philadelphia, PA 19154-3109

Mailing address

1583 Stoney Garden Rd
Quakertown, PA 18951-3025
Phone (215) 529-5834

Other identifiers 1

IdentifierTypeStateIssuer
RP037722LMedicaidPA

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

LicenseStateTypeSpecialty
RP037722LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Super Fresh Food Markets Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1235308438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 STONEY GARDEN RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513025",
            "telephone_number": "215-529-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 FRANKLIN MILLS BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543109",
            "telephone_number": "215-612-1201",
            "fax_number": "215-612-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP037722L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RP037722L",
            "state": "PA"
        }
    ],
    "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 Feb 21, 2008; 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.