DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA (NPI# 1114282191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114282191 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA |
Other Organization Name | DELAWARE VALLEY VETERNS HOME PHARMACY |
Practice Address |
2701 Southampton Rd Philadelphia PA 19154-1205 |
Practice Telephone | 2159655900 |
Enumeration Date | 2012-07-06 |
Last Update Date | 2018-10-29 |
Authorized Official Name | SHARAN JASPER (FACILITY REIMBURSEMENT PROGRAM ADMI) |
Authorized Official Telephone | 8146965276 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | PP481847 | PA | Suppliers |
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Delaware Valley Veterns Home Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104181189 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 401 Penn Ave, Scranton, PA 18503-1213 | 2012-07-06 |
1669737649 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 1 Veterans Dr, Spring City, PA 19475-1241 | 2012-07-06 |
1841555828 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 560 E 3rd St, Erie, PA 16507-1753 | 2012-07-06 |
1205199445 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 138 Veterans Blvd, Duncansville, PA 16635-8460 | 2012-06-22 |
1285726950 | Department of Military Affairs Commonwealth of Pennsylvania | Custodial Care Facility | 1 Veterans Dr, Spring City, PA 19475-1241 | 2006-09-29 |
Street Address |
2701 SOUTHAMPTON RD |
City | PHILADELPHIA |
State | PA |
Zip Code | 19154-1205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578672796 | Pa Department of Military and Veterans Affairs | Nursing Facility/Intermediate Care Facility | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2006-08-30 |
1306478326 | Jensine Ann Varughese | Occupational Therapist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2020-02-07 |
1417429390 | Stephanie Simpson | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2018-12-17 |
1124502950 | Deborah Maguire | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2018-09-18 |
1306386818 | Nissim Vazana | Occupational Therapist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2017-03-02 |
1922553965 | Benchmark Therapy, Inc | Clinic/Center | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2016-08-19 |
1639567357 | Richard Kuzela | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2015-01-05 |
1417250036 | Jamie Mccormick | Speech-Language Pathologist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2010-12-21 |
1790812204 | Kurt W Campbell | Specialist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2007-02-28 |
1326175936 | Paul L Ezeukwu | Specialist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2007-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
Find all providers in zip 19154 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1649497744 | Hospital Discount Pharmacy Inc | Pharmacy | 919 Holland Ave, Philadelphia, MS 39350-2115 | 2007-04-19 |
1891753992 | Medcare Ltc | Pharmacy | 5325 Old York Rd, Philadelphia, PA 19141-2900 | 2006-05-01 |
1598760639 | Glendale Prescription Center Inc | Pharmacy | 7601 Castor Ave, Ste 100 Lobby, Philadelphia, PA 19152-4026 | 2005-06-16 |
1720640634 | Centennial Pharmacy Services Incorporated | Pharmacy | 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334 | 2019-07-01 |
1760815419 | Future Medical Supply & Pharmacy, LLC. | Pharmacy | 9831 Bustleton Ave, Suite 3, Philadelphia, PA 19115-3200 | 2013-08-16 |
1730453291 | Clcressler Inc | Pharmacy | 6950 Germantown Ave, Suite 326 Contennial Wing, Germantown Home, Philadelphia, PA 19119-2120 | 2012-03-01 |
1083659734 | Neshoba County General Hospital | Pharmacy | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-18 |
1639150154 | Friendship Pharmacy Inc | Pharmacy | 3300 Cottman Ave, Philadelphia, PA 19149-1601 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830421 | Op Pharmacy LLC | Pharmacy | 7000 Stonewood Dr Ste 230, Wexford, PA 15090-7376 | 2020-10-28 |
1225654957 | Lins Group LLC | Pharmacy | 1500 Uhler Rd Ste 103, Easton, PA 18040-6682 | 2020-06-18 |
1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19154 |
Please comment or provide details below to improve the information on DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH 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.