Active NPI
Joes Pharmacy
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1295355428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Philadelphia, PA
- NPI 1285304386
-
- Long Term Care Pharmacy
- Philadelphia, PA
- NPI 1891448742
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.