FAIRMOUNT PHARMACY SERVICES LLC (NPI# 1295824845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295824845 |
| Entity Type | Organization |
| Organization Name | FAIRMOUNT PHARMACY SERVICES LLC |
| Other Organization Name | FAIRMOUNT PHARMACY SERVICES LLC |
| Practice Address |
1900 Green St Suite 2f Philadelphia PA 19130-3207 |
| Practice Telephone | 2155649300 |
| Practice Fax Number | 2155671931 |
| Mailing Telephone | 2155649300 |
| Mailing Fax Number | 2155671931 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | GERARD VOLGRAF (MEMBER LLC PHARMACIST) |
| Authorized Official Telephone | 2156200019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP481626 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081667 | 01 | |
| PA | 1017523250001 | 05 |
| Other Name | Type Code |
|---|---|
| FAIRMOUNT PHARMACY SERVICES LLC | Doing Business As Name - Organization |
| Street Address |
1900 GREEN ST SUITE 2F |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511242 | Fairmount Pharmacy Inc | Pharmacy | 1900 Green St, Philadelphia, PA 19130-3207 | 2005-07-12 |
| 1316327505 | Joseph Mcguffin | Pharmacist | 1900 Green St, Philadelphia, PA 19130-3207 | 2015-06-03 |
| 1760450498 | Kevin Powell | Pharmacist | 1900 Green St, Philadelphia, PA 19130-3207 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649497744 | Hospital Discount Pharmacy Inc | Pharmacy | 919 Holland Ave, Philadelphia, MS 39350-2115 | 2007-04-19 |
| 1891753992 | Medcare Ltc | Pharmacy | 5325 Old York Rd, Philadelphia, PA 19141-2900 | 2006-05-01 |
| 1598760639 | Glendale Prescription Center Inc | Pharmacy | 7601 Castor Ave, Ste 100 Lobby, Philadelphia, PA 19152-4026 | 2005-06-16 |
| 1720640634 | Centennial Pharmacy Services Incorporated | Pharmacy | 1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334 | 2019-07-01 |
| 1760815419 | Future Medical Supply & Pharmacy, LLC. | Pharmacy | 9831 Bustleton Ave, Suite 3, Philadelphia, PA 19115-3200 | 2013-08-16 |
| 1730453291 | Clcressler Inc | Pharmacy | 6950 Germantown Ave, Suite 326 Contennial Wing, Germantown Home, Philadelphia, PA 19119-2120 | 2012-03-01 |
| 1083659734 | Neshoba County General Hospital | Pharmacy | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-18 |
| 1639150154 | Friendship Pharmacy Inc | Pharmacy | 3300 Cottman Ave, Philadelphia, PA 19149-1601 | 2005-11-10 |
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|---|---|---|---|---|
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| 1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
| 1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
| 1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
| 1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
| 1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
| 1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
| 1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
| 1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.