1306843073 NPI number — D&H PHARMACY SERVICES INC

Table of content: (NPI 1306843073)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306843073 NPI number — D&H PHARMACY SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
D&H PHARMACY SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FISHERS PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306843073
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7908
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19101-7908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-468-1202
Provider Business Mailing Address Fax Number:
215-551-4068

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1300 S 18TH ST
Provider Second Line Business Practice Location Address:
REAR/PHARMACY
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19146-4601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-468-1202
Provider Business Practice Location Address Fax Number:
215-551-4068
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HAYNES
Authorized Official First Name:
GEORGE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-546-3479

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  3000007545 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332B00000X , with the licence number: 8000001287 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 333600000X , with the licence number: PP413247L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8000001287 . This is a "DME WHOLESALER/DISTRIB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3941285 . This is a "NCPDP/NABP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PP413247L . This is a "PHARMACY LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0017717580001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0006297810001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300 000 7545 . This is a "DME DISTRIBUTOR(PRESCRIP)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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