Active NPI
Matthew Jensen, PHARMD
- Pharmacist
- Bala Cynwyd, PA
National Provider Identifier
1780350405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP455780
- Practice address
- 121 E City Ave
Bala Cynwyd, PA 19004-2448 - Phone
- (610) 667-7051
- NPI assigned
- Aug 22, 2021
- Last updated
- Aug 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP455780 | PA | Primary |
Addresses
Primary practice location
121 E City Ave
Bala Cynwyd, PA 19004-2448
Mailing address
121 E City Ave
Bala Cynwyd, PA 19004-2448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP455780 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1780350405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E CITY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E CITY AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042448",
"telephone_number": "610-667-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-22",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP455780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
- Jodi J Jasionowicz, D.M.D.
- Jefferson Ambulatory Surgery Services, LLC (Jeffeson Endoscopy Center at Bala)
- Jefferson Community Physicians
- Jefferson University Physicians (Jefferson Comprehensive Weight Management Program)
- Jensen Psychiatry, PLLC
- Sofia K Jensen, MD
- Jewish Community Homes
- Jewish Community Homes for Adult Independence
- Jewish Family & Childrens Serv
- Matthew M. Jezzi, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.