THOMAS JEFFERSON UNIVERSITY HOSPITAL (NPI# 1013078831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013078831 |
| Entity Type | Organization |
| Organization Name | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| Other Organization Name | METHODIST APOTHECARY |
| Practice Address |
2301 S Broad St Philadelphia PA 19148-3542 |
| Practice Telephone | 2159529385 |
| Practice Fax Number | 2159521467 |
| Mailing Telephone | 2159529385 |
| Mailing Fax Number | 2159521467 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | CHRISTOPHER DISILVESTRO (PHRM SUPV) |
| Authorized Official Telephone | 2159529385 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PP481395 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081612 | 01 | |
| PA | 10075713000 | 05 |
| Other Name | Type Code |
|---|---|
| METHODIST APOTHECARY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207164 | Thomas Jefferson University Hospital | General Acute Care Hospital | 33 Meadow Creek Ln, Glenmoore, PA 19343-2017 | 2015-10-16 |
| 1790901924 | Thomas Jefferson University Hospital | General Acute Care Hospital | 132 S 10th Ste 524 Main, Philadelphia, PA 19107-5244 | 2007-04-17 |
| 1598292229 | Thomas Jefferson University Hospital | Nurse Practitioner | 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 | 2017-05-12 |
| 1306204417 | Thomas Jefferson University Hospital | Clinic/Center | 2607 Rhawn St, Philadelphia, PA 19152-3038 | 2016-02-03 |
| 1033520424 | Thomas Jefferson University Hospital | Clinic/Center | 909 Walnut St, Philadelphia, PA 19107-5211 | 2014-05-19 |
| 1255644175 | Thomas Jefferson University Hospital | Rehabilitation Hospital | 25 S 9th St, Philadelphia, PA 19107-4408 | 2010-07-20 |
| 1396079315 | Thomas Jefferson University Hospital | General Acute Care Hospital | 900 Walnut St, Philadelphia, PA 19107-5509 | 2009-09-23 |
| 1144476490 | Thomas Jefferson University Hospital | General Acute Care Hospital | 111 S 11th St, Philadelphia, PA 19107-4824 | 2008-08-18 |
| 1972760189 | Thomas Jefferson University Hospital | General Acute Care Hospital | 132 S 10th St, 285 Main Bldg, Philadelphia, PA 19107-5244 | 2008-05-16 |
| 1174795611 | Thomas Jefferson University Hospital | General Acute Care Hospital | 111 S 11th St, Philadelphia, PA 19107-4824 | 2008-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11th St, Philadelphia, PA 19107-4824 |
| Street Address |
2301 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124621 | Deborah A Serba | Nurse Anesthetist, Certified Registered | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2005-06-20 |
| 1215584859 | Mary Ann Heller | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-08-19 |
| 1093279499 | Katelyn Alice Jesukiewicz | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-01-30 |
| 1972088292 | Lindsey Anne Wolf | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-10-02 |
| 1346732005 | Candace Cantwell-foy | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-05-30 |
| 1386199982 | Marisa A. Ciuppa | Nurse Anesthetist, Certified Registered | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-08-24 |
| 1871957324 | Tejal Ulhas Naik | Internal Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-04-11 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1669831996 | Jeffex, Inc. | Pharmacy | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-02-15 |
| 1033575352 | Methodist Associates In Healthcare, Inc. | Family Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1013050681 | Aria Health Pharmacy | Pharmacy | Knights & Red Lion Rd, Philadelphia, PA 19114-1436 | 2007-02-14 |
| 1780752188 | Philadelphia Department of Public Health Center Pharmacy #1 | Pharmacy | 500 S. Broad Street, Pharmacy, Philadelphia, PA 19146 | 2006-12-01 |
| 1164856720 | Institutional Pharmacy Solutions | Pharmacy | 3300 Henry Ave, Philadelphia, PA 19129-1121 | 2013-08-30 |
| 1306975115 | North Philadelphia Health System | Pharmacy | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249748 | Canonsburg General Hospital | Pharmacy | 100 Medical Blvd Fl 1, Canonsburg, PA 15317-9762 | 2020-09-11 |
| 1891166708 | Pharmscript of Pa LLC | Pharmacy | 200 W Kensinger Dr, Suite 600, Cranberry Township, PA 16066-3428 | 2015-10-19 |
| 1053561480 | Select Rx LLC | Pharmacy | 165 Veterans Cir, Ste 100, Warminster, PA 18974-3529 | 2008-09-23 |
| 1316952948 | Guardian Healthcare Pharmacy, LLC | Pharmacy | 123 Brubaker Rd, Brockway, PA 15824-2505 | 2006-07-30 |
| 1790768471 | Pennsylvania Department of Human Services | Pharmacy | 33 Main Dr, North Warren, PA 16365-5001 | 2005-11-28 |
| 1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
| 1457334336 | Pennsylvania Department of Human Services | Pharmacy | 50 Kirkbride Dr, Danville, PA 17821-8630 | 2005-11-23 |
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| 1942769393 | Geisinger Wyoming Valley Medical Center | Pharmacy | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-03-15 |
| 1639684889 | Lifecare Management Services | Pharmacy | 225 Penn Ave, Wilkinsburg, PA 15221-2148 | 2017-12-11 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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| 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.