Active NPI
John Thomas Haines
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1245378231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP411633L
- Legal business name
- JOHN THOMAS HAINES
- Practice address
- 1701 S 2ND St
Philadelphia, PA 19148-1907 - Phone
- (215) 389-4148
- Fax
- (215) 389-0296
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Haines, RPH
- Title
- Owner Pharmacist
- Phone
- (215) 389-4148
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP411633L | PA | Primary |
Addresses
Primary practice location
1701 S 2ND St
Philadelphia, PA 19148-1907
Mailing address
1701 S 2ND St
Philadelphia, PA 19148-1907
Phone (215) 389-4148
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0578790 | Medicaid | PA | |
| 3912804 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- LINSKY PHARMACY
National Provider Directory
National Provider DirectoryLocations
1701 S 2nd St
Philadelphia, PA 19148
Phone (215) 389-4148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320883200000",
"number": "1245378231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S 2ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481907",
"telephone_number": "215-389-4148",
"fax_number": "215-389-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 2ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481907",
"telephone_number": "215-389-4148",
"fax_number": "215-389-0296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN THOMAS HAINES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2011-11-10",
"status": "A",
"authorized_official_last_name": "HAINES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "215-389-4148",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP411633L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0578790",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3912804",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LINSKY PHARMACY",
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.