Joseph Kochadathil Jibi

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441571 Issued in PA

Practice address

8445 Frankford Ave
Philadelphia, PA 19136

Phone

(215) 333-0535

NPI assigned

May 14, 2007

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Penncare Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1891330031
  NPD Authorized official
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1881800381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 MASTER AVE",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536926",
            "telephone_number": "615-335-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19136",
            "telephone_number": "215-333-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4018 Woodhaven Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191542810",
            "country_code": "US",
            "telephone_number": "215-637-7840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIBI",
        "first_name": "JOSEPH",
        "middle_name": "KOCHADATHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ning Jiang, L.C.S.W
• Qin Jiang, RDH, PHDHP
• Stephanie Marie Jiang
• Wei Jiang, M.D., PH.D
• Yuting Jiang, PHARMD
• Debra Jih, M.D.
• Jim Grilli Psychotherapy and Consultation, LLC
• Calvin Jim
• Claudia Jimenez Fang Tac
• Max Eduardo Jimenez Pastran, MD

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.