Provider Type Icon

OM SAIDEV LLC NPI 1730125287


NPI Information

NPI: 1730125287
Provider Name: OM SAIDEV LLC

Doing Business As: LONGENECKER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5360 LINCOLN HWY
SUITE 10
GAP, PA
ZIP 17527
Phone: (717) 442-9523
Get Directions

OM SAIDEV LLC is a pharmacy in Gap, 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. OM SAIDEV LLC NPI is 1730125287. The provider is registered as an organization entity type.
The provider Is Doing Business As Longenecker Pharmacy.

The provider's business location address is:

5360 LINCOLN HWY
SUITE 10
GAP, PA
ZIP 17527-451
Phone: (717) 442-9523
Fax: (717) 442-5246

The provider's authorized official is Umamaheswara Donepudi .
The authorized official title is Member and has the following contact phone number (717) 442-9523.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/18/2017.


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
1333600000XPharmacyPP411414LPENNSYLVANIAYes
23336C0003XPharmacyCommunity/Retail 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
11029008520001MEDICAIDPENNSYLVANIA
22144225OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.