Organization Active NPI

R J Jomici Inc

Doing business as Jomici Apothecary

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1568560597
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412527L Issued in PA
Legal business name
R J JOMICI INC
Doing business as
Jomici Apothecary
Practice address
273 S 15TH St
Philadelphia, PA 19102-5060
Phone
(215) 735-6337
Fax
(215) 790-0355
NPI assigned
Sep 21, 2006
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Joan Ippoliti, RPH
Title
Owner
Phone
(215) 735-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP412527L PA Primary

Addresses

Primary practice location

273 S 15TH St
Philadelphia, PA 19102-5060

Mailing address

273 S 15TH St
Philadelphia, PA 19102-5060
Phone (215) 735-6337

Other identifiers 2

IdentifierTypeStateIssuer
0577101MedicaidPA
2083090OtherPK

Other names 1

  • JOMICI APOTHECARY Doing business as

National Provider Directory

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1568560597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025060",
            "telephone_number": "215-735-6337",
            "fax_number": "215-790-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025060",
            "telephone_number": "215-735-6337",
            "fax_number": "215-790-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R J JOMICI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "IPPOLITI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-735-6337",
        "authorized_official_credential": "RPH"
    },
    "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": "PP412527L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOMICI APOTHECARY",
            "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 Apr 26, 2016; 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.