DELAWARE VALLEY VETERNS HOME PHARMACY
NPI 1114282191
Pharmacy - Long Term Care Pharmacy in Philadelphia, PA

Q: What is Department Of Military Affairs Commonwealth Of Pennsylvania's specialty?

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

Active since July 06, 2012CLIA 39D1008252 · Waiver

2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154(215) 965-5900 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2022, Oct 29, 2018 (2 updates tracked since 2018).

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About Delaware Valley Veterns Home Pharmacy NPPES

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

DELAWARE VALLEY VETERNS HOME PHARMACY (NPI 1114282191) is a healthcare organization registered as a long term care pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Thomas Reed, Fiscal Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1114282191

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameDEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA

Location Address2701 SOUTHAMPTON RDPhiladelphia, PA 19154-1205

Mailing Address2701 Southampton RdPhiladelphia, PA 19154-1205

Phone(215) 965-5900

Organization SubpartNo

Authorized OfficialThomas ReedFiscal Services Administrator · (814) 242-7789

Enumeration DateJuly 6, 2012

Last NPPES UpdateMay 24, 20222 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1114282191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X · License PP481847 (PA)

2701 SOUTHAMPTON RD, Philadelphia, PA 19154

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Other Names 1

Doing Business AsDelaware Valley Veterns Home Pharmacy

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)

Delaware Valley Veterns Home Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20120919000056Non-DME Part B · PharmacyDue dateOctober 31, 2026

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 39D1008252

Delaware Valley Veterans Home · Philadelphia, PA

Active · expires Jan 14, 2027

CLIA Number39D1008252

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJanuary 15, 2025

Certificate Expiration DateJanuary 14, 2027

Laboratory DirectorDr. John E. Peacock

Laboratory Phone(215) 856-2700

Laboratory LocationDelaware Valley Veterans Home2701 Southampton Road, Philadelphia, PA 19154

CLIA data matches this NPI record on: Address

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

Other Providers at the Same Location NPPES 14

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

DEBORAH MAGUIRE COTA/L

Occupational Therapy Assistant