=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225078652
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BJS WHOLESALE CLUB INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/07/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300A REAR OREGON AVE
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-462-0297
-----------------------------------------------------
Fax | 215-339-5897
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2300A REAR OREGON AVE
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT VICE PRESIDENT
-----------------------------------------------------
Name | CHRIS CELLA
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 508-651-5621
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | PP481507
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------