NPIMap

Organization Active NPI

Joe'S Pharmacy Services

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Philadelphia, PA
National Provider Identifier
1285304386
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
Legal business name
JOE'S PHARMACY SERVICES
Practice address
2401 Pennsylvania Ave Ste 1D7
Philadelphia, PA 19130-3000
Phone
(215) 642-2422
Fax
(267) 792-3197
NPI assigned
Sep 20, 2021
Organization subpart
Yes
Parent organization
JOE'S PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Dennis Michael Czerw, PHARMD
Title
Owner
Phone
(215) 642-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P0018X Primary

Addresses

Primary practice location

2401 Pennsylvania Ave Ste 1D7
Philadelphia, PA 19130-3000

Mailing address

2401 Pennsylvania Ave Ste 1D7
Philadelphia, PA 19130-3000
Phone (215) 642-2422

Other identifiers 1

IdentifierTypeStateIssuer
1295355428MedicaidPA

Other names 1

  • Parkway Pharmacy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joe'S Pharmacy Services3 organizations share this tax ID, including this one
Part of
Joe'S Pharmacy Services

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1285304386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 1D7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303000",
            "telephone_number": "215-642-2422",
            "fax_number": "267-792-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 1D7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303000",
            "telephone_number": "215-642-2422",
            "fax_number": "267-792-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE'S PHARMACY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOE'S PHARMACY",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "CZERW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-642-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295355428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy Services",
            "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 Sep 20, 2021; 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.