NPIMap

Organization Active NPI

Temple University Hospital, Inc

Doing business as Temple University Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1598858946
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414033L Issued in PA
Legal business name
TEMPLE UNIVERSITY HOSPITAL, INC
Doing business as
Temple University Hospital Outpatient Pharmacy
Practice address
3401 N Broad St. B150
Temple University Hospital Outpatient Pharmacy
Philadelphia, PA 19140
Phone
(215) 707-4528
Fax
(215) 707-4873
NPI assigned
Sep 30, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLE UNIVERSITY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Andy Tang, PHARMDNPI 1467008631
Title
Manager, Outpatient Pharmacy
Phone
(267) 300-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP414033L PA Primary
Mail Order Pharmacy 3336M0002X NU

Addresses

Primary practice location

3401 N Broad St. B150
Temple University Hospital Outpatient Pharmacy
Philadelphia, PA 19140

Mailing address

3401 N Broad St # B150
Philadelphia, PA 19140-5189
Phone (215) 707-4528

Other identifiers 2

IdentifierTypeStateIssuer
2081602OtherPK
100735114MedicaidPA

Other names 1

  • Temple University Hospital Outpatient Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106000404 PA DME Supplier - Pharmacy 1355328717 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Part of
Temple University Hospital Inc - Fort Washington

Locations

3401 N Broad St
#B150
Philadelphia, PA 19140
Phone (215) 707-4528

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": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1598858946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST # B150",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405189",
            "telephone_number": "215-707-4528",
            "fax_number": "215-707-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST. B150",
            "address_2": "TEMPLE UNIVERSITY HOSPITAL OUTPATIENT PHARMACY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-4528",
            "fax_number": "215-707-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE UNIVERSITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE UNIVERSITY HOSPITAL, INC",
        "enumeration_date": "2006-09-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "MANAGER, OUTPATIENT PHARMACY",
        "authorized_official_telephone_number": "267-300-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PP414033L",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081602",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735114",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple University Hospital Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temple University Hospital Outpatient 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 Mar 22, 2024; 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.