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PRIMARY CHOICE PHARMACY LLC NPI 1194126128


NPI Information

NPI: 1194126128
Provider Name: PRIMARY CHOICE PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5575 OLD YORK RD
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 437-9043
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PRIMARY CHOICE PHARMACY LLC is a pharmacy in Philadelphia, PA. The provider is 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. PRIMARY CHOICE PHARMACY LLC NPI is 1194126128. The provider is registered as an organization entity type.

The provider's business location address is:

5575 OLD YORK RD
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 437-9043
Fax: (215) 437-9045

The provider's authorized official is Anna Shamilova .
The authorized official title is Owner and has the following contact phone number (347) 782-5974.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 11/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPP482510PENNSYLVANIANo
2333600000XPharmacyPP482510PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194126128OTHERPENNSYLVANIADURABLE MEDICAL EQUIPMENT
21029774280002MEDICAIDPENNSYLVANIA
37290970001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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