Albert Einstein Medical Center
Organization Active NPI Pharmacy · Philadelphia, PA
NPI 1891010229 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1891010229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PP481810 (PA)
- Legal business name
- ALBERT EINSTEIN MEDICAL CENTER
- Practice address
- 9880 Bustleton Ave Ste 305
Philadelphia, PA 19115-2144 - Phone
- (215) 827-1680
- Fax
- (215) 827-1389
- NPI assigned
- Mar 29, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- ALBERT EINSTEIN HEALTHCARE NETWORK
Authorized official
- Name
- Ms. Deborah Gail Hauser, RPH
- Title
- Network Director of Pharmacy
- Phone
- (215) 456-6486
Other NPIs with the same Medicare PAC ID 7
Practitioners 4
-
Sheryl Berardinelli, PSYD
-
Daniel J Leichter, PSYD
-
Mary Pelham, PSY.D
-
Sitara Shanmugam, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110609000373 | PA | DME Supplier - Pharmacy | 3971412297 | Practice locations: Philadelphia, PA |
National Provider Directory
- Part of
- Einstein Hospital
Locations
9880 Bustleton Ave
Ste 332
Philadelphia, PA 19115
Phone (215) 827-1570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP481810 | PA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007544140133 | Medicaid | PA |
Other names
- Einstein at Center One Pharmacy
Other providers in Philadelphia, PA
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstein Medical Center
- Albert Einstin Healthcare Network
- Albert Eintein Medical Center
- Amy N Albert
All providers in Philadelphia, PA · Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.