NPIMap

Organization Active NPI

Tju Hospitals, Inc

Doing business as Jefferson Apothecary

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1700976925
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP413308L Issued in PA
Legal business name
TJU HOSPITALS, INC
Doing business as
Jefferson Apothecary
Practice address
111 S 11TH St
Gibbon BLDG Suite 1850
Philadelphia, PA 19107
Phone
(215) 955-8845
Fax
(215) 955-1711
NPI assigned
Oct 16, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Lorraine McCaney, RPHNPI 1568701373
Title
Pharmacy Manager
Phone
(215) 955-8845

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413308L PA Primary

Addresses

Primary practice location

111 S 11TH St
Gibbon BLDG Suite 1850
Philadelphia, PA 19107

Mailing address

111 S 11TH St
Gibbon BLDG Suite 1850
Philadelphia, PA 19107
Phone (215) 955-8845

Other identifiers 1

IdentifierTypeStateIssuer
10075085400011MedicaidPA

Other names 1

  • Jefferson Apothecary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tju Hospitals Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 S 11th St
Ste 1850
Philadelphia, PA 19107
Phone (215) 955-1782

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1700976925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "GIBBON BLDG SUITE 1850",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-8845",
            "fax_number": "215-955-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "GIBBON BLDG SUITE 1850",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-8845",
            "fax_number": "215-955-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJU HOSPITALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MCCANEY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-955-8845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413308L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10075085400011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson 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 Jun 18, 2008; 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.