NPIMap

Organization Active NPI

Project Home

Doing business as Project HOME Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1336525708
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482643 Issued in PA
Legal business name
PROJECT HOME
Doing business as
Project HOME Pharmacy
Practice address
2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone
(215) 309-5223
Fax
(215) 763-0128
NPI assigned
Aug 7, 2015
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Monica P Medina McCurdyNPI 1093761116
Title
Vice-President, Healthcare Services
Phone
(215) 320-6187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP482643 PA Primary

Addresses

Primary practice location

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014

Mailing address

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone (215) 309-5223

Other identifiers 1

IdentifierTypeStateIssuer
2159790OtherPK

Other names 1

  • Project HOME Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190516002017 PA Part B Supplier - Pharmacy 5799930822 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Project Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1336525708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214014",
            "telephone_number": "215-309-5223",
            "fax_number": "215-763-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214014",
            "telephone_number": "215-309-5223",
            "fax_number": "215-763-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MEDINA MCCURDY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE-PRESIDENT, HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "215-320-6187"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project HOME Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Project HOME 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 Jan 9, 2020; 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.