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FAIRMOUNT PHARMACY SERVICES LLC NPI 1295824845


NPI Information

NPI: 1295824845
Provider Name: FAIRMOUNT PHARMACY SERVICES LLC

Doing Business As: FAIRMOUNT PHARMACY SERVICES LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1900 GREEN ST
SUITE 2F
PHILADELPHIA, PA
ZIP 19130
Phone: (215) 564-9300
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FAIRMOUNT PHARMACY SERVICES LLC is a long term care pharmacy pharmacy in Philadelphia, PA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FAIRMOUNT PHARMACY SERVICES LLC NPI is 1295824845. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairmount Pharmacy Services Llc.

The provider's business location address is:

1900 GREEN ST
SUITE 2F
PHILADELPHIA, PA
ZIP 19130-207
Phone: (215) 564-9300
Fax: (215) 567-1931

The provider's authorized official is Gerard Volgraf .
The authorized official title is Member Llc Pharmacist and has the following contact phone number (215) 620-0019.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/13/2016.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPP481626PENNSYLVANIAYes
33336S0011XPharmacySpecialty PharmacyNo

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
12081667OTHERPK
21017523250001MEDICAIDPENNSYLVANIA

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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