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PELHAM PHARMACY
NPI 1083994925
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since August 23, 2011CLIA 39D2242278 · Waiver
6555 GREENE ST STE 3, PHILADELPHIA, PA 19119(215) 848-0500(215) 848-0510 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pelham Pharmacy NPPES

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

PELHAM PHARMACY (NPI 1083994925) is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Idayat Adewunmi, President, as its authorized official.

NPPES Registry Identity

NPI1083994925
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTIMI PHARMACEUTICALS INC
Location Address6555 GREENE ST STE 3Philadelphia, PA 19119-4040
Mailing Address6555 Greene St Ste 3Philadelphia, PA 19119-4040 · (347) 574-4754
Phone(215) 848-0500
Fax(215) 848-0510
Organization SubpartNo
Authorized OfficialIdayat AdewunmiPresident · (347) 574-4754
Enumeration DateAugust 23, 2011
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1083994925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP482192
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
6555 GREENE ST STE 3, Philadelphia, PA 19119
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Other Names 1

Doing Business AsPelham Pharmacy

Other Identifiers 2

Medicaid1026319500001PA
Other2131635Pk

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 Arizona Complete Health and more.Insurance ›

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 39D2242278

Pelham Pharmacy · Philadelphia, PA
Active · expires Nov 5, 2027
CLIA Number39D2242278
Laboratory TypePharmacy
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorIdayat A. Adewunmi
Laboratory Phone(215) 848-0500
Laboratory LocationPelham Pharmacy6555 Greene St, Suite #3, Philadelphia, PA 19119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
144 services142 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.
133 services133 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.
18 services18 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.
17 services17 patients

Other Providers at the Same Location NPPES

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

TIMI PHARMACEUTICALS INC
Pharmacy (Long Term Care Pharmacy)
6555 GREENE ST STE 3
PHILADELPHIA, PA 19119
Philadelphia County (215) 848-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timi Pharmaceuticals Inc's NPI number?

The NPI number for Timi Pharmaceuticals Inc is 1083994925. It was assigned to this organization in the NPPES registry on August 23, 2011. The provider is doing business as Pelham Pharmacy.

Where is Timi Pharmaceuticals Inc located?

Timi Pharmaceuticals Inc is located at 6555 Greene St Ste 3, Philadelphia, PA 19119. The listed phone number is (215) 848-0500.

What is Timi Pharmaceuticals Inc's specialty?

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

Does Timi Pharmaceuticals Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2242278) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Timi Pharmaceuticals Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Timi Pharmaceuticals Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timi Pharmaceuticals Inc was last updated on June 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.