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PRIMARY CHOICE PHARMACY LLC
NPI 1194126128
Pharmacy in Philadelphia, PA

Active since September 09, 2014
5575 OLD YORK RD, PHILADELPHIA, PA 19141(215) 437-9043(215) 437-9045 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Nov 16, 2016, Feb 2, 2016 (3 updates tracked since 2016).

About Primary Choice Pharmacy Llc NPPES

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

PRIMARY CHOICE PHARMACY LLC (NPI 1194126128) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since September 2014. The organization lists Emmanuil Shamilov, Owner, as its authorized official.

NPPES Registry Identity

NPI1194126128
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePRIMARY CHOICE PHARMACY LLC
Location Address5575 OLD YORK RDPhiladelphia, PA 19141
Mailing Address5575 Old York RdPhiladelphia, PA 19141 · (215) 437-9043 · Fax (215) 437-9045
Phone(215) 437-9043
Fax(215) 437-9045
Organization SubpartNo
Authorized OfficialEmmanuil ShamilovOwner · (215) 437-9043
Enumeration DateSeptember 9, 2014
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1194126128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP482510
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PP482510 (PA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5575 OLD YORK RD, Philadelphia, PA 19141
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Other Identifiers 2

Other1194126128PA · Durable Medical Equipment
Medicaid1029774280002PA

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 ›

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Primary Choice Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Primary Choice Pharmacy LLC

DMEPOS supplier · Philadelphia, PA
⋮

Does not accept Medicare assignment

Primary Choice Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20485313
Medicare Participant SinceJanuary 6, 2015
Supplier Location5575 Old York RdPhiladelphia, PA 19141
Phone(215) 437-9043
Supplier Specialties
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
Infusion Drugs
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Primary Choice Pharmacy LLC's NPI number?

The NPI number for Primary Choice Pharmacy LLC is 1194126128. It was assigned to this organization in the NPPES registry on September 9, 2014.

Where is Primary Choice Pharmacy LLC located?

Primary Choice Pharmacy LLC is located at 5575 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 437-9043.

What is Primary Choice Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Primary Choice Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Primary Choice Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Primary Choice Pharmacy LLC 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 48 other insurers list Primary Choice Pharmacy 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 Primary Choice Pharmacy LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.