Individual provider Active NPI

Jeffrey Michael Phillips, PHARMD

  • Pharmacist
  • Huntingdon Valley, PA
National Provider Identifier
1295050078
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439540 Issued in PA
Practice address
2182 County Line Rd
Huntingdon Valley, PA 19006-1740
Phone
(215) 953-1655
Fax
(215) 396-4598
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439540 PA Primary

Addresses

Primary practice location

2182 County Line Rd
Huntingdon Valley, PA 19006-1740

Mailing address

2182 County Line Rd
Huntingdon Valley, PA 19006-1740
Phone (215) 953-1655

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP439540PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1295050078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061740",
            "telephone_number": "215-953-1655",
            "fax_number": "215-396-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061740",
            "telephone_number": "215-953-1655",
            "fax_number": "215-396-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.