Organization Active NPI

Jeffex Inc

Doing business as Jefferson Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1780084723
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP413888L Issued in PA
Legal business name
JEFFEX INC
Doing business as
Jefferson Pharmacy
Practice address
833 Chestnut St
Suite 125
Philadelphia, PA 19107-4414
Phone
(215) 955-4400
Fax
(215) 503-1580
NPI assigned
Aug 27, 2014
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Neil Lubarsky
Title
Senior VP, Finance
Phone
(215) 955-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413888L PA Primary

Addresses

Primary practice location

833 Chestnut St
Suite 125
Philadelphia, PA 19107-4414

Mailing address

833 Chestnut St
Suite 125
Philadelphia, PA 19107-4414
Phone (215) 955-4400

Other identifiers 2

IdentifierTypeStateIssuer
102980817 0001MedicaidPA
2148162OtherPK

Other names 1

  • Jefferson Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

833 Chestnut St
Ste 125
Philadelphia, PA 19107
Phone (215) 955-4400

Practitioners & affiliated clinicians

Practitioners 2

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1780084723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-4400",
            "fax_number": "215-503-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-4400",
            "fax_number": "215-503-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "LUBARSKY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "SENIOR VP, FINANCE",
        "authorized_official_telephone_number": "215-955-9993"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413888L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102980817 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Pharmacy",
            "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 May 5, 2015; 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.