PROJECT HOME (NPI# 1336525708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336525708 |
| Entity Type | Organization |
| Organization Name | PROJECT HOME |
| Other Organization Name | PROJECT HOME PHARMACY |
| Practice Address |
2144 Cecil B Moore Ave Philadelphia PA 19121-4014 |
| Practice Telephone | 2153095223 |
| Practice Fax Number | 2157630128 |
| Mailing Telephone | 2153095223 |
| Mailing Fax Number | 2157630128 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MONICA P MEDINA MCCURDY (VICE-PRESIDENT, HEALTHCARE SERVICES) |
| Authorized Official Telephone | 2153206187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482643 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159790 | 01 |
| Other Name | Type Code |
|---|---|
| Project HOME Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035366 | Project Home | Clinic/Center | 1401 Arch St, Philadelphia, PA 19102-1525 | 2013-12-10 |
| 1790116788 | Project Home | Clinic/Center | 5201 Old York Rd Ste 108, Philadelphia, PA 19141-2987 | 2013-12-02 |
| 1225512031 | Project Home | Clinic/Center | 2913 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-09-18 |
| 1609122506 | Project Home | Clinic/Center | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2012-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Project Home | 1217 Venice St, Longmont, CO 80501 |
| Oregon Corporations, Companies and Business Names | PROJECT HOME | 707 Sw Washington St Ste 1500, PORTLAND OR |
| Massachusetts Corporations | PROJECT HOME AGAIN, ICN. | 11 Devonshire Pl., Andover, MA 01810 |
| Colorado Business Entities | Project Home Dance | 1217 Venice St, Longmont, CO 80501 |
| Massachusetts Corporations | PROJECT HOME FRONT,INC. | 23 Beacon Street, Boston, MA 02100 |
| Colorado Business Entities | Project Home Imagery Inc | 1127 Auraria Pkwy, Denver, CO 80204 |
| New York State Corporations | PROJECT HOME IMPROVEMENT INC. | 1836 Bellmore Avenue, Bellmore, Ny 11710 |
| Colorado Business Entities | Project Home Style LLC | 987 S York St, Denver, CO 80209 |
| Colorado Business Entities | PROJECT HOME, INC. | 1140 South Saint Paul, Denver, CO 80210 |
| System for Award Management (SAM) Entities | PROJECT HOMELESS CONNECT WASHINGTON COUNTY | 6701 Ne Campus Dr, Hillsboro, OR 97124-5500 |
| Street Address |
2144 CECIL B MOORE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122567 | Mudit Gilotra | Family Medicine | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2010-04-07 |
| 1417569120 | Vishal Snehal Shah | Counselor | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2020-08-24 |
| 1386284271 | Christine Zacchei | Social Worker | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2020-01-09 |
| 1760035653 | Karen Engelke | Dental Hygienist | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2019-07-19 |
| 1568935195 | Genevieve Marie Gellert | Social Worker | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2019-01-07 |
| 1275041477 | Shinichi Daimyo | Nurse Practitioner | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2018-01-22 |
| 1437684966 | Danielle Baurer | Family Medicine | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2017-04-21 |
| 1780032136 | Mary Jo Kasenchak | Dentist | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2016-05-26 |
| 1073969929 | Nayeli Arguelles Spahr | Family Medicine | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2016-05-10 |
| 1124400213 | Janine Burkhardt | Dentist | 2144 Cecil B Moore Ave, Philadelphia, PA 19121-4014 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 1295355428 | Joe's Pharmacy | Pharmacy | 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 | 2020-04-17 |
| 1114559713 | Broad and Snyder Pharmacy P C | Pharmacy | 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 | 2020-02-11 |
| 1194355172 | Wyoming Pharmacy LLC | Pharmacy | 333 E Wyoming Ave, Philadelphia, PA 19120-4434 | 2020-01-18 |
| 1154951267 | Nextdoor Community Pharmacy Inc | Pharmacy | 814 1/2 N 40th St, Philadelphia, PA 19104-4802 | 2020-01-17 |
| 1962048678 | Capsule Philadelphia LLC | Pharmacy | 117 S 20th St, Philadelphia, PA 19103-4606 | 2019-11-18 |
| 1891330031 | Penncare Pharmacy | Pharmacy | 416 Oak Ln, Philadelphia, PA 19126-3136 | 2019-11-12 |
| 1043871874 | Ritechoice Pharmacy V, LLC | Pharmacy | 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 | 2019-06-24 |
| 1366000564 | Allegheny Plaza Pharmacy | Pharmacy | 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 | 2019-06-03 |
| 1770146367 | Medly Pharmacy Pa Inc. | Pharmacy | 1222 Walnut St, Philadelphia, PA 19107-5466 | 2019-04-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
Please comment or provide details below to improve the information on PROJECT HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.