Individual provider Active NPI

Paul Jr Joseph

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1639806078
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP456927 Issued in PA
Practice address
7010 Germantown Ave
Philadelphia, PA 19119-1826
Phone
(215) 247-4995
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP456927 PA Primary

Addresses

Primary practice location

7010 Germantown Ave
Philadelphia, PA 19119-1826

Mailing address

5213 Arbor St
Philadelphia, PA 19120-3603
Phone (267) 237-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PJOSE16@safeway.com Health Information Exchange (HIE) ACME MARKETS INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP456927PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Markets Inc PastSince Aug 7, 2022 Accepting new patients
Acme Markets Inc PastSince Aug 7, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pjose16@safeway.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1639806078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 ARBOR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203603",
            "telephone_number": "267-237-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191826",
            "telephone_number": "215-247-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "PAUL JR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PJOSE16@safeway.com",
            "affiliation": "Y",
            "affiliationName": "ACME MARKETS INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7010 Germantown Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191191826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 5, 2022; 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.