1. Home
  2. Directory
  3. Pennsylvania
  4. Pennsburg
  5. Pharmacy
  6. NPI Profile

PROFESSIONAL PHARMACY OF PENNSBURG, INC
NPI 1104602283
Pharmacy - Long Term Care Pharmacy in Pennsburg, PA

Active since September 05, 2023CLIA 39D2206962 · Waiver
931 MAIN ST, PENNSBURG, PA 18073(215) 679-9700(215) 679-5410 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Sep 5, 2023 (2 updates tracked since 2023).

About Professional Pharmacy Of Pennsburg, Inc NPPES

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

PROFESSIONAL PHARMACY OF PENNSBURG, INC (NPI 1104602283) is a healthcare organization registered as a long term care pharmacy in Pennsburg, Pennsylvania and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists David Stone, Owner, as its authorized official.

NPPES Registry Identity

NPI1104602283
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePROFESSIONAL PHARMACY OF PENNSBURG, INC
Location Address931 MAIN STPennsburg, PA 18073-1603
Mailing Address931 Main StPennsburg, PA 18073-1603 · (215) 679-9700 · Fax (215) 679-5410
Phone(215) 679-9700
Fax(215) 679-5410
Organization SubpartNo
Authorized OfficialDavid StoneOwner · (610) 858-1044
Enumeration DateSeptember 5, 2023
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1104602283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
931 MAIN ST, Pennsburg, PA 18073
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama 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 39D2206962

Professional Pharmacy Of Pennsburg Inc · Pennsburg, PA
Active · expires Dec 22, 2026
CLIA Number39D2206962
Laboratory TypePharmacy
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorDavid Stone
Laboratory Phone(215) 679-9700
Laboratory LocationProfessional Pharmacy Of Pennsburg Inc931 Main St, Pennsburg, PA 18073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 26

Medicare supplier enrollment and the product categories Professional Pharmacy Of Pennsburg carries, from the Medicare DMEPOS supplier directory.

Professional Pharmacy Of Pennsburg

DMEPOS supplier · Pennsburg, PAOperated by Professional Pharmacy Of Pennsburg Inc
✔

Accepts Medicare assignment

Professional Pharmacy Of Pennsburg agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20668211
Medicare Participant SinceAugust 30, 1995
Supplier Location931 Main StPennsburg, PA 18073
Phone(215) 679-9700
Provider TypeOxygen & Equipment
Supplier Specialties
Certified Other MSC With Respiratory Therapist MSC With Orthotic Personnel Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

JOEL K ALDERFER RPH
Pharmacist
931 MAIN ST
PENNSBURG, PA 18073
Montgomery County (215) 679-9700
HOLLY LYNN GRABER PHARMD, RPH
Pharmacist
931 MAIN ST
PENNSBURG, PA 18073
Montgomery County (215) 679-9700
VEDASHRI LLC
Pharmacy (Community/Retail Pharmacy)
931 MAIN ST
PENNSBURG, PA 18073
Montgomery County (215) 679-9700
CHERYL ANN NOSKOW RPH.
Pharmacist
931 MAIN ST
PENNSBURG, PA 18073
Montgomery County (215) 679-9700

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 Professional Pharmacy Of Pennsburg, Inc's NPI number?

The NPI number for Professional Pharmacy Of Pennsburg, Inc is 1104602283. It was assigned to this organization in the NPPES registry on September 5, 2023.

Where is Professional Pharmacy Of Pennsburg, Inc located?

Professional Pharmacy Of Pennsburg, Inc is located at 931 Main St, Pennsburg, PA 18073. The listed phone number is (215) 679-9700.

What is Professional Pharmacy Of Pennsburg, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Professional Pharmacy Of Pennsburg, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Professional Pharmacy Of Pennsburg accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Professional Pharmacy Of Pennsburg, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2206962) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Pharmacy Of Pennsburg, Inc accept?

Health plans from Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Alabama and 8 other insurers list Professional Pharmacy Of Pennsburg, 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 Professional Pharmacy Of Pennsburg, Inc was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.