DERRY STREET PHARMACY LLC (NPI# 1386126803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386126803 |
| Entity Type | Organization |
| Organization Name | DERRY STREET PHARMACY LLC |
| Practice Address |
1304 Derry St Harrisburg PA 17104-1184 |
| Practice Telephone | 7175476219 |
| Mailing Telephone | 7175476219 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | PRAMOD ARIKERI (PHARMACY MANAGER) |
| Authorized Official Telephone | 7175476219 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482814 | PA | Suppliers |
| Y | 333600000X | Pharmacy | PP482814 | PA | Suppliers |
| Street Address |
1304 DERRY ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1013470889 | Ccn America Lp | Pharmacy | 100 N Cameron St Ste 201, Harrisburg, PA 17101-2424 | 2019-04-09 |
| 1205335015 | Auditscripts LLC | Pharmacy | 2015 Linglestown Rd, Harrisburg, PA 17110-9484 | 2018-02-07 |
| 1679971725 | Morrison Towers Pharmacy LLC | Pharmacy | 351 Chestnut St, Harrisburg, PA 17101-2756 | 2014-12-05 |
| 1437430758 | Sri Ganesh Health Services,llc | Pharmacy | 2336 N 3rd St, Harrisburg, PA 17110-1801 | 2011-08-31 |
| 1902073471 | Curtis Pharmacy Inc. | Pharmacy | 230 N. 3rd St., Suite 106, Harrisburg, OR 97446 | 2008-05-13 |
| 1699847483 | Ellet Pharmacy Inc | Pharmacy | 501 E Sloan St, Harrisburg, IL 62946-2335 | 2006-11-15 |
| 1093722134 | East Shore Pharmacy Inc. | Pharmacy | 2723 Agate St, Harrisburg, PA 17110-2645 | 2006-08-02 |
| 1487687711 | Weis Markets Inc | Pharmacy | 4300 Linglestown Rd, Harrisburg, PA 17112-9532 | 2006-07-09 |
| 1205869534 | Weis Markets Inc | Pharmacy | 3885 Union Deposit Rd, Harrisburg, PA 17109-5920 | 2006-07-09 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
Please comment or provide details below to improve the information on DERRY STREET PHARMACY LLC.
| 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.