NPIMap

Organization Active NPI

Philadelphia Department of Public Health Center Pharmacy #2

Doing business as Pharmacy Health Center #2

  • Clinic Pharmacy
  • Philadelphia, PA
National Provider Identifier
1730260704
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2
Doing business as
Pharmacy Health Center #2
Practice address
1700 S Broad Street Suite 2
Pharmacy
Philadelphia, PA 19145
Phone
(215) 685-1814
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Mr. Jeffrey T. Pender, RPH
Title
Director of Pharmaceutical Services
Phone
(215) 685-6864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X HP418339L PA
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

1700 S Broad Street Suite 2
Pharmacy
Philadelphia, PA 19145

Mailing address

500 S. Broad Street
Pharmacy/Basement
Philadelphia, PA 19146
Phone (215) 685-6864

Other identifiers 1

IdentifierTypeStateIssuer
1000076950035MedicaidPA

Other names 1

  • Pharmacy Health Center #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Phila Doh23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

1700 S Broad St
Ste 2
Philadelphia, PA 19145
Phone (215) 685-1814

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1730260704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S. BROAD STREET",
            "address_2": "PHARMACY/BASEMENT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-685-6864",
            "fax_number": "215-790-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROAD STREET SUITE 2",
            "address_2": "PHARMACY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-685-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACEUTICAL SERVICES",
        "authorized_official_telephone_number": "215-685-6864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "PA",
            "license": "HP418339L",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000076950035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Health Center #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy Health Center #2",
            "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 7, 2019; 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.