BLUE MOUNTAIN COMPOUNDING LLC (NPI# 1720345309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720345309 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN COMPOUNDING LLC |
| Other Organization Name | BLUE MOUNTAIN COMPOUNDING |
| Practice Address |
2453 Plaza Ct Ste B Bath PA 18014-8762 |
| Practice Telephone | 4842876341 |
| Practice Fax Number | 4842876340 |
| Mailing Telephone | 4842876341 |
| Mailing Fax Number | 4842876340 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | DAWN WEBER (PARTNER) |
| Authorized Official Telephone | 4842876341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP482197 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Blue Mountain Compounding | Doing Business As Name - Organization |
| Street Address |
2453 PLAZA CT STE B |
| City | BATH |
| State | PA |
| Zip Code | 18014-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536653 | Nicholas Mirabito | Specialist/Technologist | 270 E Northampton St, Bath, PA 18014 | 2017-09-04 |
| 1245783570 | Keystone Med LLC | Pharmacy | 7273-75 Park Drive, Bath, PA 18014 | 2016-08-03 |
| 1578721114 | Luther Edward Beil | General Practice | 2667 Community Drive, Bath, PA 18014 | 2008-05-30 |
| 1841415437 | James M. Orsi | Anesthesiology | 2225 Yost Rd., Bath, PA 18014 | 2007-04-17 |
| 1003999897 | Ronald J Lewullis | Pharmacist | 310 South Walnut St, Bath Drug, Bath, PA 18014 | 2006-10-23 |
| 1194810606 | Estelle R. Stein | Dentist | 116 S. Walnut St., Bath, PA 18014 | 2006-10-03 |
| 1255368361 | Brent M Nickischer | Family Medicine | 443 English Rd, Bath, PA 18014 | 2006-06-26 |
| 1750325064 | Donna Marie Copertino | Chiropractor | 151 N Chestnut St, Bath, PA 18014 | 2006-06-16 |
| 1457305849 | Northampton Chiropractic Center Inc | Chiropractor | 5964 Nor Bath Blvd, Bath, PA 18014 | 2006-05-20 |
| 1164595724 | Glenn A Clearie | Chiropractor | 5964 Nor Bath Blvd, Bath, PA 18014 | 2006-11-15 |
| Find all providers in zip 18014 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689771529 | Bath Rx Inc | Pharmacy | 310 S Walnut St, Bath, PA 18014-1025 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851265 | Bdrx LLC | Pharmacy | 1 N West End Blvd, Quakertown, PA 18951-1133 | 2015-09-15 |
| 1801208491 | Reliant Care Solutions Lp | Pharmacy | 403 S Oxford Valley Rd Ste 2, Fairless Hills, PA 19030-4202 | 2014-05-30 |
| 1083026199 | Rabskvi Health Inc | Pharmacy | 1571 Manheim Pike, Lancaster, PA 17601-3071 | 2014-05-22 |
| 1871914473 | Specialty Pharmacy Services LLC | Pharmacy | 445 W Main St Ste 7, Mount Pleasant, PA 15666-1533 | 2013-12-27 |
| 1841629433 | Insight Pharmaceutical LLC | Pharmacy | 700 E Township Line Rd # Ll2b, Havertown, PA 19083-5733 | 2013-11-05 |
| 1477980324 | Darshan Bapa Inc | Pharmacy | 8275 Bustleton Ave, Philadelphia, PA 19152-2425 | 2013-10-07 |
| 1619212032 | Fishtown Pharmacy LLC | Pharmacy | 1802 Frankford Ave, Philadelphia, PA 19125-2403 | 2012-12-11 |
| 1669717369 | Apothecary of Harleysville | Pharmacy | 345 Main St Ste 7, Harleysville, PA 19438-2420 | 2012-12-06 |
| 1497017461 | Innovative Pharmacy LLC | Pharmacy | 2014 Ford Rd Ste B, Bristol, PA 19007-6743 | 2012-06-14 |
| 1891075537 | Custom Care Pharmacy | Pharmacy | 57 S Front St, Milton, PA 17847-1110 | 2011-08-25 |
| Find all providers with the same taxonomy | ||||
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| 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.