Active NPI
RXD Healthcare
- Specialty Pharmacy
- Philadelphia, PA
National Provider Identifier
1376695510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PP481328
- 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 HEALTHCARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012123870001 | Medicaid | PA | |
| PP481328 | Other | PA | PA LICENSE # |
| 3983687 | Other | PA | NABP |
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.