YOUR COMPOUNDING PHARMACY LLC NPI 1619090024

NPI Information

  • NPI: 1619090024
  • Provider Name: YOUR COMPOUNDING PHARMACY, LLC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Doing Business As: ADVANCE CARE PHARMACY
  • Address: 280 INDIAN SPRINGS RD
    SUITE 125
    INDIANA, PA
    ZIP 15701
  • Phone: (724) 463-9300

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NPI Details

YOUR COMPOUNDING PHARMACY, LLC is a home infusion therapy pharmacy pharmacy in Indiana, PA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. YOUR COMPOUNDING PHARMACY, LLC NPI is 1619090024. The provider is registered as an organization entity type.
The provider Is Doing Business As Advance Care Pharmacy.

The provider's business location address is:

280 INDIAN SPRINGS RD
SUITE 125
INDIANA, PA
ZIP 15701-676
Phone: (724) 463-9300
Fax: (724) 463-9301

The provider's authorized official is James Albert Kodman .
The authorized official title is Ceo and has the following contact phone number (724) 463-9300.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 3/30/2023.

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
13336C0003XPharmacyCommunity/Retail PharmacyPP414041LPENNSYLVANIANo
23336C0004XPharmacyCompounding PharmacyPP414041LPENNSYLVANIANo
33336S0011XPharmacySpecialty PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
63336H0001XPharmacyHome Infusion Therapy PharmacyYes

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
10180749MEDICAIDOHIO
2102834523002MEDICAIDPENNSYLVANIA
3PP414041LOTHERPENNSYLVANIAPA STATE PHARMACY PERMIT

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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