Organization Active NPI

Joes Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1295355428
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JOES PHARMACY
Practice address
2401 Pennsylvania Ave
Philadelphia, PA 19130-3010
Phone
(267) 975-2281
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Dennis M Czerw, PHARMD
Title
Pharmacist in Charge/ Owner
Phone
(215) 642-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2401 Pennsylvania Ave
Philadelphia, PA 19130-3010

Mailing address

2401 Pennsylvania Ave Ste 1D7
Philadelphia, PA 19130-3000
Phone (267) 975-2281

Other names 1

  • Parkway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200922001210 PA Part B Supplier - Pharmacy 1052739190 Practice locations: Philadelphia, PA
O20211117001679 PA Part B Supplier - Independent Clinical Laboratory 1052739190 Practice locations: Philadelphia, PA

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

2401 Pennsylvania Ave
Ste 1D7
Philadelphia, PA 19130
Phone (215) 232-0533

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1295355428",
    "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": "267-975-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "267-975-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "CZERW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/ OWNER",
        "authorized_official_telephone_number": "215-642-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkway 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 Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.