INNOVATIVE PHARMACY LLC


Address: 2014 Ford Rd Ste B, Bristol, PA 19007-6743
Phone: 2678780492

INNOVATIVE PHARMACY LLC (NPI# 1497017461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497017461
Entity Type Organization
Organization Name INNOVATIVE PHARMACY LLC
Other Organization Name INNOVATIVE PHARMACY
Practice Address 2014 Ford Rd Ste B
Bristol
PA 19007-6743
Mailing Address 2014 Ford Road
Unit B
Bristol
PA 19007
Practice Telephone 2678780492
Practice Fax Number 2678780534
Mailing Telephone 2678780492
Mailing Fax Number 2678780534
Enumeration Date 2012-06-14
Last Update Date 2012-08-22
Authorized Official Name EVAN LANDA (MANAGING MEMBER)
Authorized Official Telephone 9082166680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
PP482279 PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 3997701 01

Other Provider/Organization Names

Other Name Type Code
Innovative Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750709002 Innovative Pharmacy LLC Pharmacy 11356 S Orange Blossom Trl, Orlando, FL 32837-9426 2014-04-03

Office Location

Street Address 2014 FORD RD STE B
City BRISTOL
State PA
Zip Code 19007-6743

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222952 Lynn Nicole Ackert Counselor 499 Bath Road, Bristol, PA 19007 2020-10-14
1881219863 Eahab Abdul-lattif Internal Medicine 500 Bath Road, Bristol, PA 19007 2020-06-15
1811494248 Lower Bucks Physician Associates, PC Pathology 1 Bath Road, Bristol, PA 19007 2018-04-11
1235658147 Leah Elizabeth Cohen Social Worker 100 Green Ln Ste 2, Bristol, PA 19007 2017-09-12
1922524842 Genevieve Rongione Occupational Therapist Nova Care 100 Green Lane, Bristol, PA 19007 2017-08-22
1609263516 Katrina Shchupak Psychiatry & Neurology 499 Bath Rd, Bristol, PA 19007 2015-04-17
1639504426 Scott W Pfaff Physical Therapist 220 Commerce Circle, Bristol, PA 19007 2013-09-11
1861739997 Conscu Inc Ambulance 2720 Bartam Rd, Suite 7, Bristol, PA 19007 2013-01-09
1417214537 Leonard Davidson Family Medicine 202 Jefferson Ave, Bristol, PA 19007 2012-04-13
1831472067 Timothy Michael Leicht Physician Assistant 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 2011-09-23
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830421 Op Pharmacy LLC Pharmacy 7000 Stonewood Dr Ste 230, Wexford, PA 15090-7376 2020-10-28
1225654957 Lins Group LLC Pharmacy 1500 Uhler Rd Ste 103, Easton, PA 18040-6682 2020-06-18
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
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Competitor

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City BRISTOL
Zip Code 19007

Improve Information

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Dataset Information

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.

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