BOOTHWYN APOTHECARY, LLC
NPI 1134720352
Pharmacy - Long Term Care Pharmacy in Upper Chichester, PA

Active since November 04, 2020CLIA 39D2215750 · Waiver
2341 CHICHESTER AVE, UPPER CHICHESTER, PA 19061(610) 485-1130 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boothwyn Apothecary, Llc NPPES

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

BOOTHWYN APOTHECARY, LLC (NPI 1134720352) is a healthcare organization registered as a long term care pharmacy in Upper Chichester, Pennsylvania and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Noel Boehm, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1134720352
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBOOTHWYN APOTHECARY, LLC
Location Address2341 CHICHESTER AVEUpper Chichester, PA 19061-3737
Mailing Address2341 Chichester AveUpper Chichester, PA 19061-3737 · (610) 485-1130
Organization SubpartNo
Authorized OfficialNoel BoehmPharmacist In Charge · (610) 485-1130
Enumeration DateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1134720352 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.

2341 CHICHESTER AVE, Upper Chichester, PA 19061

Other Identifiers 1

Medicaid103281552-0001PA

Accepted 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 39D2215750

Boothwyn Apothecary · Boothwyn, PA
Active · expires Mar 5, 2027
CLIA Number39D2215750
Laboratory TypePharmacy
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDr. Ashok K. Subramanian
Laboratory Phone(610) 485-1130
Laboratory LocationBoothwyn Apothecary2341 Chichester Ave, Boothwyn, PA 19061
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pharmacist
2341 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Pharmacist
2341 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Pharmacist
2341 CHICHESTER AVE
BOOTHWYN, PA 19061
Pharmacist
2341 CHICHESTER AVE
UPPER CHICHESTER, PA 19061
Pharmacy (Community/Retail Pharmacy)
2341 CHICHESTER AVE
UPPER CHICHESTER, PA 19061

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 Boothwyn Apothecary, LLC's NPI number?

The NPI number for Boothwyn Apothecary, LLC is 1134720352. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Boothwyn Apothecary, LLC located?

Boothwyn Apothecary, LLC is located at 2341 Chichester Ave, Upper Chichester, PA 19061. The listed phone number is (610) 485-1130.

What is Boothwyn Apothecary, LLC's specialty?

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

Does Boothwyn Apothecary, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2215750) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boothwyn Apothecary, LLC 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 Boothwyn Apothecary, LLC 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 Boothwyn Apothecary, LLC was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.