Tabula Rasa Healthcare Group, Inc., NPI 1053624593
Long Term Care Pharmacy in Moorestown, NJ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1053624593 |
| NPI Entity Type | Organization |
| Provider Name |
Tabula Rasa Healthcare Group, Inc.
Doing Business As |
| Subpart of Organization | Tabula Rasa Healthcare, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 228 Strawbridge Dr, Ste 200, Moorestown, NJ, US |
| Provider Mailing Address | 228 Strawbridge Dr, Ste 200, Moorestown, NJ, US, 080574600 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. PHARMD, MBA Orsula V Knowlton |
| Official Position | PRESIDENT |
| Phone | 215-680-8983 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | 113728 |
| License State | AL |
| Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| A9-0001576 | DE | No | |||
| 12394 | NC | No | |||
| 54019552 | IL | No | |||
| 64001638A | IN | No | |||
| P06949 | MD | No | |||
| PHY.007106-NR | LA | No | |||
| PHA-MOPA-LIC-40040 | MT | No | |||
| 5301010646 | MI | No | |||
| 22-100635 | KS | No | |||
| OSP.0005948 | CO | No | |||
| 265109 | MN | No | |||
| PH29393 | FL | No | |||
| 4486 | IA | No | |||
| 908 | NE | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1053624593 | IL | MEDICAID | 05 |
| 22470760 | CO | MEDICAID | 05 |
| 0253316 | NJ | MEDICAID | 05 |
| 2125914 | PK | 01 | |
| 102567985001 | PA | MEDICAID | 05 |
Other Providers in NJ, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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OTA Alvaro Robinson Prieto Villarraga Individual |
200 Frank W Burr Blvd |
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PT, DPT Monica Benedicto Individual |
3349 Hwy 138 East Building B, Suite A |
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MRS. L.P.C. Sally Rose Sauter Individual |
157 Broad Street Suite 323 |
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PSYD Jed D Seltzer Individual |
385 Tremont Ave |
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MRS. LPC Heidi Anne Schnorr Individual |
1637 New Rd Ste 2a |
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Tiffany Knight Individual |
146 1000 Oaks Dr |
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Dream Drugs Inc. Organization |
263 Broad Ave Fl 1 |
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Nicole Distefano Individual |
159 Harding Ave |
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Susan Rossman Individual |
15 Essex Road |
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Caim Counseling Llc Organization |
5051 Route 42 Unit 4 #1006 |
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LPC Alexis Kilduff Individual |
5051 Route 42 Unit 4 #1006 |
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OTR/L Roua Mohamed Individual |
1521 Irving St |
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|
MSW, LSW Meredith Kaufman Roth Individual |
4 Forest Ave |
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OTR/L Meaghan Myers Individual |
4 Maple Ave |
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MS. MS, LPC, NCC, CTMH Crystal C Robinson Individual |
1147 N New Rd |
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|
Global Medicine Llc Organization |
27 S Franklin Tpke # 302 |
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|
MR. Harold Scott JR. Individual |
222 New Rd |
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DR. PHARMD Heather Roni Pass Individual |
4008 Route 9 N |
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PA-C Meghan Sue Fullarton Individual |
570 South Ave E Bldg A |
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|
LCSW Nancy F. Perez Individual |
890 Mountain Ave |
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