NPIMap

Organization Active NPI

Trustees of the University of Pennsylvania

Doing business as Hospital of the University of Pennsylvania Pharmacy

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1972780419
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481729 Issued in PA
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as
Hospital of the University of Pennsylvania Pharmacy
Practice address
3400 Spruce St
Ravdin 1
Philadelphia, PA 19104-4238
Phone
(215) 662-2920
Fax
(215) 349-8340
NPI assigned
Jan 28, 2008
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Daniel Pitchford, RPHNPI 1164690053
Title
Phcy Supervisor
Phone
(215) 662-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481729 PA Primary

Addresses

Primary practice location

3400 Spruce St
Ravdin 1
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Ravdin 1
Philadelphia, PA 19104-4238
Phone (215) 662-2920

Other identifiers 1

IdentifierTypeStateIssuer
2082399OtherPK

Other names 1

  • HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151105002164 PA Part B Supplier - Mass Immunization (Roster Biller Only) 2062326507 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Radnor, PA
O20210920001664 PA DME Supplier - Pharmacy 2062326507 Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 17

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

FacilityTypeRoleSince
Penn Medicine Princeton Medical CenterPlainsboro, NJ, CCN 310010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Lancaster General HospitalLancaster, PA, CCN 390100 Hospital 5% Or Greater Indirect Ownership Interest Aug 1, 2015
Hospital of the University of PennsylvaniaPhiladelphia, PA, CCN 390111 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 18, 2007
Oct 18, 2007
Hospital of the University of PennsylvaniaPhiladelphia, PA, CCN 39T111 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Nov 16, 2017
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 390226 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1997
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 39S226 Hospital 5% Or Greater Direct Ownership Interest Apr 30, 1997
Penn Presbyterian Medical CenterPhiladelphia, PA, CCN 390223 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 13, 1995
Penn Medicine | Good Shepherd RehabilitationPhiladelphia, PA, CCN 392050 Hospital Other (49%) Jul 1, 2019
Chester County HospitalWest Chester, PA, CCN 390179 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2013
Penn Medicine Princeton Medical Center Acute Rehabilitation CenterPlainsboro, NJ, CCN 31T010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine Princeton House Behavioral HealthPlainsboro, NJ, CCN 31S010 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Lancaster Behavioral Health HospitalLancaster, PA, CCN 394055 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 7, 2014
Rittenhouse Post AcutePhiladelphia, PA, CCN 395749 Skilled nursing facility Adp of the SNF Sep 12, 2024
Penn Medicine Home HealthBala Cynwyd, PA, CCN 397125 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 13, 1995
Penn Medicine Home Health Princeton HealthPrinceton, NJ, CCN 317045 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine Hospice Princeton HealthPrinceton, NJ, CCN 311506 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
Penn Medicine HospiceBala Cynwyd, PA, CCN 391501 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1997

Owned or controlled facilities with NPI records 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1972780419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "RAVDIN 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2920",
            "fax_number": "215-349-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "RAVDIN 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2920",
            "fax_number": "215-349-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "PITCHFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHCY SUPERVISOR",
        "authorized_official_telephone_number": "215-662-2920",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.