NPIMap

Organization Active NPI

Hospital of the University of Pennsylvania Pharmacy

Doing business as Hospital of the University of Pennsylvania Pharmacy PCAM 3E

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1811376296
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482006 Issued in PA
Legal business name
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHARMACY
Doing business as
Hospital of the University of Pennsylvania Pharmacy PCAM 3E
Practice address
3400 Spruce St
Pcam 3E
Philadelphia, PA 19104-4238
Phone
(215) 615-9991
NPI assigned
May 19, 2015
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Richard Demers
Title
Director of Pharmacy
Phone
(215) 662-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482006 PA Primary

Addresses

Primary practice location

3400 Spruce St
Pcam 3E
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Pharmacy Ground Rhoads
Philadelphia, PA 19104-4238
Phone (215) 662-2900

Other identifiers 1

IdentifierTypeStateIssuer
2151969OtherPK

Other names 1

  • Hospital of the University of Pennsylvania Pharmacy PCAM 3E Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ortho Outpatient Dept44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

3400 Spruce St
#3E
Philadelphia, PA 19104
Phone (215) 615-9991

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1811376296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "PHARMACY GROUND RHOADS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2900",
            "fax_number": "215-349-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "PCAM 3E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-615-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "215-662-2900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital of the University of Pennsylvania Pharmacy PCAM 3E",
            "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 19, 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.