TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI# 1922029982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922029982 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
| Other Organization Name | HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - RADNOR PHARMACY |
| Practice Address |
145 King of Prussia Rd Ste 109n Radnor PA 19087-4557 |
| Practice Telephone | 6109021700 |
| Practice Fax Number | 6109021704 |
| Mailing Telephone | 6109021700 |
| Mailing Fax Number | 6109021704 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | RICHARD FIORE (PHCY MGR) |
| Authorized Official Telephone | 6109021700 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481406 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1001258770265 | 05 | |
| PK | 2087049 | 01 |
| Other Name | Type Code |
|---|---|
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - RADNOR PHARMACY | 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 |
| 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 |
| 1659829877 | Trustees of The University of Pennsylvania | Pharmacy | 1001 Chesterbrook Blvd, 1st Floor, Berwyn, PA 19312-3805 | 2016-09-16 |
| 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 |
145 KING OF PRUSSIA RD STE 109N |
| City | RADNOR |
| State | PA |
| Zip Code | 19087-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| 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 |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.