TRACEMARK PHARMACY
NPI 1215254305
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Q: What is Tracemark Pharmacy's NPI number?

The NPI number for Tracemark Pharmacy is 1215254305. It was assigned to this organization in the NPPES registry on April 28, 2010.

Q: What is Tracemark Pharmacy's specialty?

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

Active since April 28, 2010

4839 N BROAD ST, PHILADELPHIA, PA 19141(215) 324-0800(215) 324-0803 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracemark Pharmacy NPPES

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

TRACEMARK PHARMACY (NPI 1215254305) is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since April 2010. The organization lists Bevis E Vanterpool, Pharmacy Owner, as its authorized official.

NPPES Registry Identity

NPI1215254305

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTRACEMARK PHARMACY

Location Address4839 N BROAD STPhiladelphia, PA 19141-2107

Mailing Address4839 N Broad StPhiladelphia, PA 19141-2107 · (215) 324-0800 · Fax (215) 324-0803

Phone(215) 324-0800

Fax(215) 324-0803

Organization SubpartNo

Authorized OfficialBevis E VanterpoolPharmacy Owner · (215) 668-4494

Enumeration DateApril 28, 2010

✔ NPI 1215254305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in PA · PP481991

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.

4839 N BROAD ST, Philadelphia, PA 19141

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Other Identifiers 1

Medicaid1024349890001PA

Other Providers at the Same Location NPPES

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

BEVIS VANTERPOOL PHARMD

Pharmacist

4839 N BROAD ST
PHILADELPHIA, PA 19141

Philadelphia County (215) 324-0800

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 Tracemark Pharmacy's NPI number?

The NPI number for Tracemark Pharmacy is 1215254305. It was assigned to this organization in the NPPES registry on April 28, 2010.

Where is Tracemark Pharmacy located?

Tracemark Pharmacy is located at 4839 N Broad St, Philadelphia, PA 19141. The listed phone number is (215) 324-0800.

What is Tracemark Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracemark Pharmacy was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.