NPIMap

Organization Active NPI

Trustees of the University of Pennsylvania

Doing business as Penn Home Infusion Therapy

  • Pharmacy
  • King of Prussia, PA
National Provider Identifier
1770236044
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as
Penn Home Infusion Therapy
Practice address
625 Clark Ave Ste 10
King of Prussia, PA 19406-4025
Phone
(610) 992-3920
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Genevieve Levans
Title
Associate Director of Pharmacy
Phone
(215) 796-2085

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Home Infusion Therapy Pharmacy 3336H0001X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

625 Clark Ave Ste 10
King of Prussia, PA 19406-4025

Mailing address

625 Clark Ave Ste 10
King of Prussia, PA 19406-4025
Phone (610) 992-3920

Other identifiers 1

IdentifierTypeStateIssuer
1001258770270MedicaidPA

Other names 1

  • PENN HOME INFUSION THERAPY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Penn Home Infusion Therapy625 Clark Ave, King of Prussia, PA 19406-4025(610) 992-3420 External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jul 1, 2006

National Provider Directory

National Provider Directory
Tax ID family
Hup Dept Pathology la44 organizations share this tax ID, including this one
Part of
Hup Dept Pathology la

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1770236044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE STE 10",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064025",
            "telephone_number": "610-992-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE STE 10",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064025",
            "telephone_number": "610-992-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LEVANS",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "215-796-2085"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001258770270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENN HOME INFUSION THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.