PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #1 (NPI# 1780752188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780752188 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #1 |
| Other Organization Name | HEALTH CENTER #1 PHARMACY |
| Practice Address |
500 S. Broad Street Pharmacy Philadelphia PA 19146 |
| Mailing Address |
500 S. Broad Street Pharmacy/basement Philadelphia PA 19146 |
| Practice Telephone | 2156856513 |
| Practice Fax Number | 2157901651 |
| Mailing Telephone | 2156856864 |
| Mailing Fax Number | 2157901651 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MR. JEFFREY T. PENDER (DIRECTOR OF PHARMACEUTICAL SERVICES) |
| Authorized Official Telephone | 2156856864 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PA | Suppliers | |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PP481593 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081751 | 01 | |
| PA | 1000076950093 | 05 |
| Other Name | Type Code |
|---|---|
| HEALTH CENTER #1 PHARMACY | Doing Business As Name - Organization |
| Street Address |
500 S. BROAD STREET PHARMACY |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1093092447 | Philly Metro Pharmacy LLC | Pharmacy | 25 E Walnut Ln, Philadelphia, PA 19144-2002 | 2011-11-14 |
| 1619195104 | Jfk Medical Center Pharmacy | Pharmacy | 3001 Walnut St Fl 4, Philadelphia, PA 19104-3414 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788551 | The Milton S Hershey Medical Center | Pharmacy | 2221 Noll Dr Rm B136, Lancaster, PA 17603-7614 | 2020-04-02 |
| 1235697418 | Option Care Infusion Suites, LLC. | Pharmacy | 825 Town Center Dr Ste 146&150, Langhorne, PA 19047-1753 | 2019-03-07 |
| 1902170186 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr Suite 1200, Hershey, PA 17033-2360 | 2012-03-06 |
| 1326164138 | Penn State Uhs Pharmacy | Pharmacy | 202c Student Health Center, University Park, PA 16802-2129 | 2007-03-22 |
| 1356364210 | Pa University Hlth Svcs | Pharmacy | 130 Ritenour Building, University Park, PA 16802-7501 | 2006-07-25 |
| 1295755510 | University of Pittsburgh Office of The Conptroller | Pharmacy | 103 University Place, Pittsburgh, PA 15260 | 2006-07-20 |
| 1578175790 | Upmc East | Pharmacy | 2775 Mosside Blvd, Monroeville, PA 15146-2760 | 2020-08-19 |
| 1356800551 | Dwh Direct Rx LLC | Pharmacy | 524 W Broad St, Quakertown, PA 18951-1216 | 2019-03-18 |
| 1013475102 | Dwh Direct Rx LLC | Pharmacy | 1707-1709 W Hamilton Street, Allentown, PA 18036 | 2019-03-07 |
| 1639680317 | Grand View Urgent Care | Pharmacy | 700 Horizon Cir, Chalfont, PA 18914-3906 | 2017-10-20 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
Please comment or provide details below to improve the information on PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #1.
| 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.