The Pennsylvania Hospital of the University of Pennsylvania Health Sys
NPI 1023153053ActiveOrganization· Pharmacy· Philadelphia, PA
Pharmacy in Philadelphia, Pennsylvania, registered in NPPES in February 2007, part of The Pennsylvania Hospital of the University of Pennsylvania Health Sys. The authorized official on file is Thomas M. McCormick, Assoc Vice Pres Finance. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1023153053 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Pennsylvania Hospital of the University of Pennsylvania Health Sys |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Feb 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP415759L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (PA); Part B Supplier - Mass Immunization (Roster Biller Only) (PA) |
|---|
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