JEFFERSON PHARMACY
NPI 1821180902
Pharmacy in Philadelphia, PA

NPI Status: Active since September 28, 2006

Contact Information

833 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-4400
Fax: (215) 503-1580

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  • Organization
  • Pharmacy
  • CLIA Number: 39D2118009
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 06-11-2027

About JEFFERSON PHARMACY

This page provides the complete NPI Profile along with additional information for Jefferson Pharmacy, a provider established in Philadelphia, Pennsylvania operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1821180902 assigned on September 2006. The practitioner's primary taxonomy code is 333600000X with license number PP413888L (PA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Jefferson Pharmacy. The authorized official of this NPI record is Bonnie B Gazda Rph (Pharmacy Manager)

NPI
1821180902
Provider Legal Name
THOMAS JEFFERSON UNIVERSITY HOSPITALS INC
Other Organization Name
JEFFERSON PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
833 CHESTNUT ST PHILADELPHIA, PA 19107
Location Phone
(215) 955-4400
Location Fax
(215) 503-1580
Mailing Address
833 CHESTNUT ST PHILADELPHIA, PA 19107
Mailing Phone
(215) 955-4400
Mailing Fax
(215) 503-1580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
04-01-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
PP413888L
License State
PA
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONNIE B GAZDA RPH

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(215) 955-4400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1171550001MEDICARE ID-TYPE UNSPECIFIED (04)PA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2118009
Facility Type
Practitioner Other
Certificate Effective Date
June 12, 2025
Certificate Expiration Date
June 11, 2027
Laboratory Director
DR. KENNETH M. LANKIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jefferson Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821180902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 2 + 8 + 0 + 9 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1821180902.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1200
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, 14TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST, SUITE 210
PHILA, PA 19107
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Urology
833 CHESTNUT ST, SUITE 703
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107
Family Medicine
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107
Internal Medicine
833 CHESTNUT ST, SUITE 701
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821180902, enumerated as an "organization" on September 28, 2006.

The provider is located at 833 CHESTNUT ST PHILADELPHIA, PA 19107 and the phone number is (215) 955-4400.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.