# TABULA RASA HEALTHCARE GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TABULA RASA HEALTHCARE, INC.
- **Other names:** CareKinesis
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053624593
- **Legal business name:** TABULA RASA HEALTHCARE, INC.
- **Authorized official:** SARAH FENWICK (SR. VICE PRESIDENT)
- **Authorized official phone:** (216) 487-1641

## Contact information

- **Practice address:** 228 STRAWBRIDGE DR, STE 200, MOORESTOWN, NJ 08057-4600
- **Practice address phone:** (888) 974-2763
- **Practice address fax:** (856) 273-0135
- **Mailing address:** 228 STRAWBRIDGE DR, STE 200, MOORESTOWN, NJ 08057-4600
- **Mailing address phone:** (888) 974-2763
- **Mailing address fax:** (856) 273-0135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 113728 | AL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 12394 | NC | — |
| 3336L0003X | Long Term Care Pharmacy | 22-100635 | KS | — |
| 3336L0003X | Long Term Care Pharmacy | 265109 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | 4486 | IA | — |
| 3336L0003X | Long Term Care Pharmacy | 5301010646 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | 54019552 | IL | — |
| 3336L0003X | Long Term Care Pharmacy | 64001638A | IN | — |
| 3336L0003X | Long Term Care Pharmacy | 908 | NE | — |
| 3336L0003X | Long Term Care Pharmacy | A9-0001576 | DE | — |
| 3336L0003X | Long Term Care Pharmacy | OSP.0005948 | CO | — |
| 3336L0003X | Long Term Care Pharmacy | P06949 | MD | — |
| 3336L0003X | Long Term Care Pharmacy | PH29393 | FL | — |
| 3336L0003X | Long Term Care Pharmacy | PHA-MOPA-LIC-40040 | MT | — |
| 3336L0003X | Long Term Care Pharmacy | PHY.007106-NR | LA | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 10/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0253316 | — | NJ |
| 05 | — | 102567985001 | — | PA |
| 05 | — | 1053624593 | — | IL |
| 01 | — | 2125914 | PK | — |
| 05 | — | 22470760 | — | CO |