1336325265 NPI number — TRANSITION PHARMACY SERVICES, LLC

Table of content: (NPI 1336325265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336325265 NPI number — TRANSITION PHARMACY SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITION PHARMACY SERVICES, LLC
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:
Provider Other Organization Name Type Code:
6
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:
1336325265
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 CORPORATE DR STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERYVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18936-9644
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-694-2553
Provider Business Mailing Address Fax Number:
866-694-2555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 CORPORATE DR STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERYVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18936-9644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-694-2553
Provider Business Practice Location Address Fax Number:
866-694-2555
Provider Enumeration Date:
01/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
GREGG
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
VP REGULATORY AND LICENSING ADVISOR
Authorized Official Telephone Number:
610-850-4080

Provider Taxonomy Codes

  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: PP481773 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1020919290001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201072320A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2082375 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2054258131905301 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0311421 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1336325265 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".




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