TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI# 1659829877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659829877 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
| Other Organization Name | HOSPITAL OF THE UNIVERSITY OF PENNYLVANIA- VALLEY FORGE PHAR |
| Practice Address |
1001 Chesterbrook Blvd 1st Floor Berwyn PA 19312-3805 |
| Practice Telephone | 6105767545 |
| Practice Fax Number | 6105767560 |
| Mailing Telephone | 6105767545 |
| Mailing Fax Number | 6105767560 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | RICHARD DEMERS (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2157962085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP482675 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164003 | 01 | |
| PA | 1001258770290 | 05 |
| Other Name | Type Code |
|---|---|
| Hospital of the University of Pennylvania- Valley Forge Phar | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366835910 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Civic Center Blvd # 101w, Philadelphia, PA 19104-5127 | 2015-03-06 |
| 1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
| 1629128814 | Trustees of The University of Pennsylvania | Dentist | 240 South 40th Street, Philadelphia, PA 19104-6003 | 2007-01-11 |
| 1922029982 | Trustees of The University of Pennsylvania | Pharmacy | 145 King of Prussia Rd Ste 109n, Radnor, PA 19087-4557 | 2006-07-22 |
| 1992788350 | Trustees of The University of Pennsylvania | Durable Medical Equipment & Medical Supplies | 625 Clark Ave, Suite 10, King of Prussia, PA 19406-1438 | 2005-11-21 |
| 1023373511 | Trustees of The University of Pennsylvania | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4206 | 2012-07-10 |
| 1740411651 | Trustees of The University of Pennsylvania | Family Medicine | 3535 Market St, Ste 100, Philadelphia, PA 19104-3309 | 2009-07-28 |
| 1972780419 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Spruce St, Ravdin 1, Philadelphia, PA 19104-4238 | 2008-01-28 |
| 1457568883 | Trustees of The University of Pennsylvania | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-05-16 |
| 1720107303 | Trustees of The University of Pennsylvania | Surgery | 3400 Spruce St, 4th Floor Silverstein, Philadelphia, PA 19104-4206 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | 3451 Walnut Street, Philadelphia, PA 19104 |
| Street Address |
1001 CHESTERBROOK BLVD 1ST FLOOR |
| City | BERWYN |
| State | PA |
| Zip Code | 19312-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154398816 | Antje L Greenfield | Radiology | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2006-03-01 |
| 1700388816 | Dawn Marie Kutteroff | Nurse Practitioner | 1001 Chesterbrook Blvd, Berwyn, PA 19312 | 2018-03-05 |
| 1659896025 | Katsiaryna Vasilyeva | Nurse Practitioner | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2017-08-07 |
| 1285085951 | Kelly Pio | Nurse Practitioner | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2016-06-23 |
| 1396133559 | University of Penn-medical Group | Surgery | 1001 Chesterbrook Blvd, 3rd Floor, Berwyn, PA 19312-3805 | 2014-12-22 |
| 1952743908 | Cindy Iglesias | Family Medicine | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2013-07-18 |
| 1558600387 | Clinical Car Associates of The U of Pa Health | Non-Pharmacy Dispensing Site | 1001 Chesterbrook Blvd, 2nd Floor East, Berwyn, PA 19312-3805 | 2013-02-14 |
| 1073803300 | Tatiana Saverino | Nurse Practitioner | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2011-04-07 |
| 1841501202 | Robyn Ayana Salkey Medina | Family Medicine | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2010-06-30 |
| 1538310198 | Lauren Cordes Flynn | Psychiatry & Neurology | 1001 Chesterbrook Blvd, 3rd Floor East, Berwyn, PA 19312-3805 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
| 1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
| 1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
| 1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
| 1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| 1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
| Find all providers in zip 19312 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453022 | Careplus Discount Pharmacy Berwyn Inc. | Pharmacy | 6840 W Windsor Ave, Berwyn, IL 60402-3441 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA.
| 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.