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PHARMACY HEALTH CENTER #4
NPI 1164518866
Pharmacy - Clinic Pharmacy in Philadelphia, PA

Active since October 04, 2006
4400 HAVERFORD AVENUE, PHARMACY, PHILADELPHIA, PA 19104(215) 685-7926 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2019, Dec 29, 2016 (2 updates tracked since 2016).

About Pharmacy Health Center #4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHARMACY HEALTH CENTER #4 (NPI 1164518866) is a healthcare organization registered as a clinic pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since October 2006. The organization lists Jeffrey T. Pender, Director Of Pharmaceutical Services, as its authorized official.

NPPES Registry Identity

NPI1164518866
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NamePHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #4
Location Address4400 HAVERFORD AVENUE, PHARMACYPhiladelphia, PA 19104
Mailing Address500 S. Broad Street, Pharmacy/basementPhiladelphia, PA 19146 · (215) 685-6864 · Fax (215) 790-1651
Phone(215) 685-7926
Organization SubpartNo
Authorized OfficialJeffrey T. PenderDirector Of Pharmaceutical Services · (215) 685-6864
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration
✔ NPI 1164518866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedClinic/Center · Public Health, State or LocalTaxonomy 261QP0905X · License HP418324L (PA)
4400 HAVERFORD AVENUE, Philadelphia, PA 19104
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Other Names 1

Doing Business AsPharmacy Health Center #4

Other Identifiers 1

Medicaid1000076950039PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANEL ELIZABETH HACKNEY M.D.
Internal Medicine
4400 HAVERFORD AVENUE
PHILADELPHIA, PA 19104
Philadelphia County (215) 685-7601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philadelphia Department Of Public Health Center Pharmacy #4's NPI number?

The NPI number for Philadelphia Department Of Public Health Center Pharmacy #4 is 1164518866. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Pharmacy Health Center #4.

Where is Philadelphia Department Of Public Health Center Pharmacy #4 located?

Philadelphia Department Of Public Health Center Pharmacy #4 is located at 4400 Haverford Avenue Pharmacy, Philadelphia, PA 19104. The listed phone number is (215) 685-7926.

What is Philadelphia Department Of Public Health Center Pharmacy #4's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Philadelphia Department Of Public Health Center Pharmacy #4 accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 32 other insurers list Philadelphia Department Of Public Health Center Pharmacy #4 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philadelphia Department Of Public Health Center Pharmacy #4 was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.