YOUR COMPOUNDING PHARMACY, LLC (NPI# 1619090024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619090024 |
| Entity Type | Organization |
| Organization Name | YOUR COMPOUNDING PHARMACY, LLC |
| Other Organization Name | ADVANCE CARE PHARMACY |
| Practice Address |
280 Indian Springs Rd Suite 125 Indiana PA 15701-3676 |
| Practice Telephone | 7244639300 |
| Practice Fax Number | 7244639301 |
| Mailing Telephone | 7244639300 |
| Mailing Fax Number | 7244639301 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | JAMES ALBERT KODMAN (CEO) |
| Authorized Official Telephone | 7244639300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP414041L | PA | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP414041L | PA | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE PHARMACY PERMIT | PP414041L | 01 |
| PA | DEA NUMBER | BG4182630 | 01 |
| PA | 102834523002 | 05 | |
| OH | 0180749 | 05 |
| Other Name | Type Code |
|---|---|
| ADVance Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
280 INDIAN SPRINGS RD SUITE 125 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| 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. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306394903 | North Huntingdon Medical Inc | Pharmacy | 8731 State Route 30 Ste 1, North Huntingdon, PA 15642-3241 | 2016-09-13 |
| 1851690127 | Borro Enterprises | Pharmacy | 310 Stormfield Dr, Harleysville, PA 19438-2329 | 2011-03-25 |
| 1962647867 | Hometech Therapies Inc | Pharmacy | 3200 Concord Rd Ste 101, Aston, PA 19014-1931 | 2008-12-05 |
| 1801060298 | K&k Rx Services, Lp | Pharmacy | 3070 Mccann Farm Dr, Ste 101, Garnet Valley, PA 19060 | 2008-04-16 |
| 1386703924 | Stanton Negley Drug Co | Pharmacy | 804 N Negley Ave, Pittsburgh, PA 15206-1504 | 2006-12-08 |
| 1669561353 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 11269 Perry Hwy, Ste 133, Wexford, PA 15090-9388 | 2006-10-12 |
| 1710904149 | Pentech Health, Inc | Pharmacy | 4 Creek Parkway, Suite A, Upper Chichester, PA 19061-3132 | 2006-07-15 |
| 1003832056 | American Homecare Supply Midatlantic | Pharmacy | 480 Norristown Rd, Suite A, Blue Bell, PA 19422-2355 | 2006-07-14 |
| 1639103823 | Acro Pharmaceutical Services LLC | Pharmacy | 313 Henderson Drive, Sharon Hill, PA 19079-1034 | 2006-07-11 |
| 1265492185 | Jbdl Corporation | Pharmacy | 1004 Chester Pike, Sharon Hill, PA 19079-1913 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on YOUR COMPOUNDING 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.