Dedicated Pennsylvania Holding, LLC
Non-Pharmacy Dispensing Site

Address: 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723
Phone: 3056286117

Dedicated Pennsylvania Holding, LLC (NPI# 1023655602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023655602
Entity Type Organization
Organization Name DEDICATED PENNSYLVANIA HOLDING, LLC
Practice Address 330 W Oregon Ave # 170
Philadelphia
PA 19148-4723
Practice Telephone 3056286117
Mailing Address 1395 Nw 167th St
Miami Gardens
FL 33169-5710
Authorized Official Name Kim Biehle (CREDENTIALING)
Authorized Official Telephone 2705056488
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name DEDICATED PENNSYLVANIA HOLDING, LLC
Enumeration Date 2019-12-03
Last Update Date 2019-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
Dedicated Senior Medical Center Whitman Plaza Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1366950776 Dedicated Pennsylvania Holding, LLC Clinic/Center 5675 N. Front Strreet, Suite 141, Philadelphia, PA 19120-1910 2018-01-19
1942703137 Dedicated Pennsylvania Holding, LLC Specialist 1575 N 52nd St Ste S-3, Philadelphia, PA 19131-4736 2018-03-14
1952804312 Dedicated Pennsylvania Holding, LLC Specialist 2101 W Lehigh Ave Ste A, Philadelphia, PA 19132-2664 2018-03-13
1477053569 Dedicated Pennsylvania Holding, LLC Internal Medicine 6431 Sackett St, Philadelphia, PA 19149-3118 2018-02-15
1841707965 Dedicated Pennsylvania Holding, LLC Family Medicine 5675 N Front St Ste 141, Philadelphia, PA 19120-2719 2018-01-10

Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134528839 Bucks Philadelphia Medical Care Group Non-Pharmacy Dispensing Site 10745 Haldeman Ave, Philadelphia, PA 19116-3928 2014-08-19
1376843912 Philadelphia Chemocap Hair Store Non-Pharmacy Dispensing Site 766 S 4th St, Philadelphia, PA 19147-3137 2010-10-29
1326185182 Morrell Eye Care, Inc. Non-Pharmacy Dispensing Site 3810 Morrell Ave, Philadelphia, PA 19114-1915 2007-01-31
1588738017 David L Topolsky Md Non-Pharmacy Dispensing Site 230 S Broad St, 15th Flr, Philadelphia, PA 19102-4121 2006-11-17
1356828123 Richard H. Kaplan, M.d., P.C. Non-Pharmacy Dispensing Site 9140 Academy Rd Ste A, Philadelphia, PA 19114-2853 2018-07-25
1407397565 Premier Pain & Rehab Center Non-Pharmacy Dispensing Site 10184 Verree Rd, Philadelphia, PA 19116-3637 2017-03-09
1336699776 Anand Medical Investment Non-Pharmacy Dispensing Site 5000 Frankford Ave, Suite 2, Philadelphia, PA 19124-2620 2016-10-10
1780926915 Alliance Cancer Specialists,p.c. Non-Pharmacy Dispensing Site 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 2013-03-26
1679844492 Alliance Cancer Specialists, P.C. Non-Pharmacy Dispensing Site 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 2012-01-25
1437283256 Planned Parenthood Southeastern Pennsylvania Non-Pharmacy Dispensing Site 1144 Locust St, Philadelphia, PA 19107-6734 2007-03-15
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Office Location

Street Address 330 W OREGON AVE # 170
City PHILADELPHIA
State PA
Zip Code 19148-4723

Providers in the same zip code

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
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Competitor

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City PHILADELPHIA
Zip Code 19148

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Dataset Information

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.

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