Organization Active NPI

Albert Einstein Medical Center

Doing business as Einstein at Center One Pharmacy

  • Pharmacy
  • Philadelphia, PA
National Provider Identifier
1891010229
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP481810 Issued in PA
Legal business name
ALBERT EINSTEIN MEDICAL CENTER
Doing business as
Einstein at Center One Pharmacy
Practice address
9880 Bustleton Ave Ste 305
Philadelphia, PA 19115-2144
Phone
(215) 827-1680
Fax
(215) 827-1389
NPI assigned
Mar 29, 2010
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERT EINSTEIN HEALTHCARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Ms. Deborah Gail Hauser, RPHNPI 1770649121
Title
Network Director of Pharmacy
Phone
(215) 456-6486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481810 PA Primary

Addresses

Primary practice location

9880 Bustleton Ave Ste 305
Philadelphia, PA 19115-2144

Mailing address

9880 Bustleton Ave Ste 305
Philadelphia, PA 19115-2144
Phone (215) 827-1680

Other names 1

  • Einstein at Center One Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000373 PA DME Supplier - Pharmacy 3971412297 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Albert Einstein Medical Center

Locations

9880 Bustleton Ave
Ste 332
Philadelphia, PA 19115
Phone (215) 827-1570

Practitioners & affiliated clinicians

Practitioners 1

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1891010229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE STE 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152144",
            "telephone_number": "215-827-1680",
            "fax_number": "215-827-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE STE 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152144",
            "telephone_number": "215-827-1680",
            "fax_number": "215-827-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT EINSTEIN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERT EINSTEIN HEALTHCARE NETWORK",
        "enumeration_date": "2010-03-29",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "NETWORK DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "215-456-6486",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Einstein at Center One Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Einstein at Center One 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 Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.