NPIMap

Organization Active NPI

Holy Redeemer Health System

Doing business as EasyRx at Holy Redeemer

  • Community/Retail Pharmacy
  • Meadowbrook, PA
National Provider Identifier
1699282772
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482765 Issued in PA
Legal business name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
EasyRx at Holy Redeemer
Practice address
1648 Huntingdon Pike
RM 0255
Meadowbrook, PA 19046-8001
Phone
(215) 544-5850
Fax
(215) 544-5858
NPI assigned
Jan 10, 2018
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. Michael Keen
Title
Cfo
Phone
(215) 856-1114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482765 PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
RM 0255
Meadowbrook, PA 19046-8001

Mailing address

1648 Huntingdon Pike
RM 0255
Meadowbrook, PA 19046-8001
Phone (215) 544-5850

Other identifiers 1

IdentifierTypeStateIssuer
2174801OtherPK

Other names 1

  • EasyRx at Holy Redeemer Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190710000427 PA Part B Supplier - Pharmacy 5496795312 Practice locations: Meadowbrook, PA

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory

Locations

1648 Huntingdon Pike
Rm 255
Meadowbrook, PA 19046
Phone (215) 544-5850

301 York Rd
Ste 201
Warminster, PA 18974
Phone (215) 702-4900

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Redeemer HospitalMeadowbrook, PA, CCN 390097 Hospital Other (100%) Sep 5, 1991
Senior Behavorial HealthMeadowbrook, PA, CCN 39S097 Hospital Other (100%) Oct 1, 1997
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (5%) May 26, 2010
St. Josephs ManorMeadowbrook, PA, CCN 395006 Skilled nursing facility Other (100%) Jan 1, 1990
Holy Redeemer Diabetes CounselingDarby, PA, CCN 395821 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Dec 15, 2017
Dec 15, 2017
HRH Transitional Care UnitMeadowbrook, PA, CCN 395861 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 5, 2011
Sep 5, 2011
Sep 5, 2011
Holy Redeemer Home Care- NJ SouthRunnemede, NJ, CCN 317025 Home health agency Operational/Managerial Control (100%) Oct 1, 2004
Holy Redeemer Home Care-PAPhiladelphia, PA, CCN 397104A Home health agency Other (100%) Feb 23, 1973
Holy Redeemer Hospice - NJ, SouthRunnemede, NJ, CCN 311513 Hospice Operational/Managerial Control (100%) Jul 5, 2021
Holy Redeemer Hospice-PAPhiladelphia, PA, CCN 391514A Hospice Other (100%) Feb 23, 1973

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1699282772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "RM 0255",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-544-5850",
            "fax_number": "215-544-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "RM 0255",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-544-5850",
            "fax_number": "215-544-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY REDEEMER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-856-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EasyRx at Holy Redeemer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EasyRx at Holy Redeemer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.