Organization Active NPI

John Thomas Haines

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1245378231
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411633L Issued in PA
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

Updated by the provider on Nov 10, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0578790MedicaidPA
3912804OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LINSKY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.