Corus Pharmacy and Healthcare Products, Inc.

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PP481732 Issued in PA

Legal business name

CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.

Practice address

1246 Township Line Rd
Drexel Hill, PA 19026-5001

Phone

(484) 452-6390

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marty Wolf

Title

Vice President

Phone

(484) 452-6390

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1427255892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265001",
            "telephone_number": "484-452-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265001",
            "telephone_number": "484-452-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORUS PHARMACY AND HEALTHCARE PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "484-452-6390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481732",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "PA",
            "license": "PP481732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10109568530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Therapy Pharmacy in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Home Infusion Therapy Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.