SPRINGFIELD PHARMACY
NPI 1043578826
Pharmacy - Community/Retail Pharmacy in Springfield, PA

Q: What is Springfield Pharmaceuticals LLC's NPI number?

The NPI number for Springfield Pharmaceuticals LLC is 1043578826. It was assigned to this organization in the NPPES registry on April 30, 2012. The provider is doing business as Springfield Pharmacy.

Q: What is Springfield Pharmaceuticals LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since April 30, 2012CLIA 39D2210392 · Waiver

1154 BALTIMORE PIKE, SPRINGFIELD, PA 19064(610) 544-4645(610) 544-1757 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Springfield Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRINGFIELD PHARMACY (NPI 1043578826) is a healthcare organization registered as a community/retail pharmacy in Springfield, Pennsylvania and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Chimdimma Ilonzo, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043578826

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSPRINGFIELD PHARMACEUTICALS LLC

Location Address1154 BALTIMORE PIKESpringfield, PA 19064-2850

Mailing Address1154 Baltimore PikeSpringfield, PA 19064-2850 · (610) 544-4645 · Fax (610) 544-1757

Phone(610) 544-4645

Fax(610) 544-1757

Organization SubpartNo

Authorized OfficialChimdimma IlonzoManaging Partner · (610) 544-4645

Enumeration DateApril 30, 2012

Last NPPES UpdateMarch 4, 2015

✔ NPI 1043578826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in PA · PP482265

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

1154 BALTIMORE PIKE, Springfield, PA 19064

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Other Names 1

Doing Business AsSpringfield Pharmacy

Other Identifiers 1

Other2134959Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Springfield Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20131016000792Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2210392

Springfield Pharmacy · Springfield, PA

Active · expires Jan 20, 2027

CLIA Number39D2210392

Laboratory TypePharmacy

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorChimdimma Ilonzo

Laboratory Phone(610) 544-4645

Laboratory LocationSpringfield Pharmacy1154 Baltimore Pike, Springfield, PA 19064

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

869 services847 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

589 services589 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

141 services141 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

37 services36 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

37 services36 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

36 services28 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORTUNATO ENTERPRISES INC

Pharmacy (Community/Retail Pharmacy)