Active NPI
Delaware Valley Community Health, Inc.
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1962206359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DELAWARE VALLEY COMMUNITY HEALTH, INC.
- Practice address
- 401 W Allegheny Ave Ste 200
Philadelphia, PA 19133-3644 - Phone
- (215) 207-0528
- Fax
- (267) 758-6205
- NPI assigned
- Apr 3, 2025
- 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
- Brenda Robles Cooke
- Title
- President & Ceo
- Phone
- (215) 684-5344
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
401 W Allegheny Ave Ste 200
Philadelphia, PA 19133-3644
Mailing address
1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (215) 684-5344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10077299600037 | Medicaid | PA |
Other names 1
- Maria Center Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Philadelphia Health Ser
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Locations
401 W Allegheny Ave
Ste 200
Philadelphia, PA 19133
Phone (215) 207-0528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1962206359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-684-5344",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W ALLEGHENY AVE STE 200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333644",
"telephone_number": "215-207-0528",
"fax_number": "267-758-6205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "ROBLES COOKE",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "215-684-5344"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10077299600037",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maria Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- Delaware Valley Community Health, Inc.
- Delaware Valley Community Health, Inc.
- Delaware Valley Community Health, Inc.
- Delaware Valley Community Health, Inc.
- Delaware Valley Community Health, Inc.
- Delaware Valley First Assist, LLC
- Delaware Valley Maxillofacial & Oral Surgery LLC
- Delaware Valley Medical Response
- Delaware Valley Medical Specialties
- Delaware Valley Nephrology and Hypertension Assoc PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.