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PENNSPORT MALL PHARMACY LLC
NPI 1366817991
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since December 08, 2015
237 MCCLELLAN ST, PHILADELPHIA, PA 19148(267) 639-4657(267) 687-2583 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Feb 2, 2016 and 1 more (4 updates tracked since 2015).

About Pennsport Mall Pharmacy Llc NPPES

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

PENNSPORT MALL PHARMACY LLC (NPI 1366817991), doing business as Pennsport Mall Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since December 2015. The organization lists Gino Cuffari, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1366817991
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENNSPORT MALL PHARMACY LLC
Location Address237 MCCLELLAN STPhiladelphia, PA 19148-1954
Mailing Address237 Mcclellan StPhiladelphia, PA 19148 · (267) 639-4657 · Fax (267) 687-2583
Phone(267) 639-4657
Fax(267) 687-2583
Organization SubpartNo
Authorized OfficialGino CuffariManager/owner · (267) 340-7534
Enumeration DateDecember 8, 2015
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1366817991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP482611
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
237 MCCLELLAN ST, Philadelphia, PA 19148
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Other Names 1

Doing Business AsPennsport Mall Pharmacy

Other Identifiers 2

Medicaid1030762100001PA
Other2155869Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 Pennsport Mall Pharmacy LLC's NPI number?

The NPI number for Pennsport Mall Pharmacy LLC is 1366817991. It was assigned to this organization in the NPPES registry on December 8, 2015. The provider is doing business as Pennsport Mall Pharmacy.

Where is Pennsport Mall Pharmacy LLC located?

Pennsport Mall Pharmacy LLC is located at 237 Mcclellan St, Philadelphia, PA 19148. The listed phone number is (267) 639-4657.

What is Pennsport Mall Pharmacy LLC's specialty?

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

What insurance does Pennsport Mall Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Pennsport Mall 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 Pennsport Mall Pharmacy LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.