NPIMap

Organization Active NPI

Inspira Medical Centers, Inc.

Doing business as Inspira Health Pharmacy - Vineland

  • Community/Retail Pharmacy
  • Vineland, NJ
National Provider Identifier
1962048231
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INSPIRA MEDICAL CENTERS, INC.
Doing business as
Inspira Health Pharmacy - Vineland
Practice address
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone
(856) 641-8000
Fax
(856) 641-7632
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
INSPIRA MEDICAL CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
James Thomas O'Connell
Title
Director Revenue Cycle
Phone
(856) 575-4777

Specialties & licenses 1

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

Addresses

Primary practice location

1505 W Sherman Ave
Vineland, NJ 08360-7059

Mailing address

333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4777

Other names 1

  • Inspira Health Pharmacy - Vineland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200422002882 NJ Part B Supplier - Pharmacy 0345232997 1 other NPI on this enrollment
Practice locations: Mullica Hill, NJ; Vineland, NJ
O20200423002450 NJ DME Supplier - Pharmacy 0345232997 Practice locations: Vineland, NJ

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Inspira Medical Centers Inc1505 W Sherman Ave, Vineland, NJ 08360-7059(856) 641-6411 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 25, 2011

National Provider Directory

National Provider Directory
Part of
Pathology Elmer Comm Ho

Member organizations 16

Organizations listed as members of this organization in the National Provider Directory.

View all 16

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayada at Inspira, Home Health and HospiceMillville, NJ, CCN 317089 Home health agency 5% Or Greater Direct Ownership Interest (8%) Jun 1, 2016
Bayada at Inspira, Home Health and HospiceWest Deptford, NJ, CCN 311576 Hospice 5% Or Greater Direct Ownership Interest (8%) Jun 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1962048231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022123",
            "telephone_number": "856-575-4777",
            "fax_number": "856-575-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "856-641-8000",
            "fax_number": "856-641-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRA MEDICAL CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRA MEDICAL CENTERS, INC.",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "856-575-4777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspira Health Pharmacy - Vineland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.