Organization Active NPI

Delaware Valley Community Health, Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1962206359
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10077299600037MedicaidPA

Other names 1

  • Maria Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Health Ser12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

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

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.

Verify at the official NPI Registry.