Active NPI
AIDS Healthcare Foundation
- Specialty Pharmacy
- Philadelphia, PA
National Provider Identifier
1912412941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PP482779
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 1211 Chestnut St
Ste 405
Philadelphia, PA 19107-4103 - Phone
- (215) 971-2808
- Fax
- (855) 747-1706
- NPI assigned
- Dec 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Scott Carruthers
- Title
- Chief Pharmacy Officer
- Phone
- (323) 860-5266
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X | PP482779 | PA | Primary |
Addresses
Primary practice location
1211 Chestnut St
Ste 405
Philadelphia, PA 19107-4103
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176205 | Other | PK | |
| 102781760-0003 | Medicaid | PA |
Other names 1
- AHF Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200507001296 | PA | Part B Supplier - Pharmacy | 2668369109 | Practice locations: Philadelphia, PA |
| O20210915001891 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668369109 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1912412941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18421 S MAIN ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484609",
"telephone_number": "310-999-6089",
"fax_number": "833-261-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 CHESTNUT ST",
"address_2": "STE 405",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074103",
"telephone_number": "215-971-2808",
"fax_number": "855-747-1706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-13",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "CARRUTHERS",
"authorized_official_first_name": "KENNETH SCOTT",
"authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
"authorized_official_telephone_number": "323-860-5266"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "PA",
"license": "PP482779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176205",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102781760-0003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AHF Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AHF 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 Dec 3, 2025; 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.