NPIMap

Organization Active NPI

Trustees of the University of Pennsylvnia

Doing business as Penn Medicine 76th Street Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1942906011
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVNIA
Doing business as
Penn Medicine 76th Street Pharmacy
Practice address
3250 S 76TH St Ste 400
Philadelphia, PA 19153-3255
Phone
(215) 594-8100
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Genevieve Levans
Title
Associate Director
Phone
(215) 796-2085

Specialties & licenses 1

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

Addresses

Primary practice location

3250 S 76TH St Ste 400
Philadelphia, PA 19153-3255

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238

Other identifiers 1

IdentifierTypeStateIssuer
PP483087OtherPASTATE BOARD OF PHARMACY

Other names 1

  • Penn Medicine 76th Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hup Dept Pathology la44 organizations share this tax ID, including this one
Part of
Hup Dept Pathology la

Other organizations with this tax ID 43

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

View all 43

Locations

3250 S 76th St
Ste 400
Philadelphia, PA 19153
Phone (215) 594-8100

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1942906011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 S 76TH ST STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533255",
            "telephone_number": "215-594-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "LEVANS",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "215-796-2085"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PP483087",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Medicine 76th Street 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 Feb 1, 2023; 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.