FOUR STAR PHARMACY II LLC NPI 1598023400

NPI Information

  • NPI: 1598023400
  • Provider Name: FOUR STAR PHARMACY II LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FOUR STAR PHARMACY II
  • Address: 6542 LEBANON AVE
    PHILADELPHIA, PA
    ZIP 19151
  • Phone: (215) 877-2400

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NPI Details

FOUR STAR PHARMACY II LLC is a community/retail pharmacy pharmacy in Philadelphia, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FOUR STAR PHARMACY II LLC NPI is 1598023400. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Star Pharmacy Ii.

The provider's business location address is:

6542 LEBANON AVE
PHILADELPHIA, PA
ZIP 19151-328
Phone: (215) 877-2400
Fax: (215) 877-2403

The provider's authorized official is Iyabode Leah Adewale .
The authorized official title is Pharmacist and has the following contact phone number (215) 877-2400.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 1/8/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPP482266PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11027396500001MEDICAIDPENNSYLVANIA
22135081OTHERPK

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: 3/30/2025

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