Organization Active NPI

RXD Healthcare

  • Specialty Pharmacy
  • Philadelphia, PA
National Provider Identifier
1376695510
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PP481328 Issued in PA
Legal business name
RXD HEALTHCARE
Practice address
1335 W Tabor Rd
Suite 103
Philadelphia, PA 19141-3038
Phone
(215) 927-7935
Fax
(215) 924-0960
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
RXD HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Craig E Lehrman, RPH
Title
Vice President
Phone
(215) 927-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PP481328 PA Primary

Addresses

Primary practice location

1335 W Tabor Rd
Suite 103
Philadelphia, PA 19141-3038

Mailing address

PO Box 428
724 Haddon
Collingswood, NJ 08108-0428
Phone (856) 858-9292

Other identifiers 3

IdentifierTypeStateIssuer
1012123870001MedicaidPA
PP481328OtherPAPA LICENSE #
3983687OtherPANABP

National Provider Directory

National Provider Directory
Part of
RXD Healthcare

Locations

1335 W Tabor Rd
Ste 103
Philadelphia, PA 19141
Phone (215) 927-7935

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376695510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "address_2": "724 HADDON",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081080428",
            "telephone_number": "856-858-9292",
            "fax_number": "856-858-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413038",
            "telephone_number": "215-927-7935",
            "fax_number": "215-924-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXD HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RXD HEALTHCARE",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEHRMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-927-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP481328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012123870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE #",
            "identifier": "PP481328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3983687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.