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SOURCE ONE PHARMACY SERVICES LLC
NPI 1376727495
Pharmacy - Long Term Care Pharmacy in West Chester, PA

Active since December 26, 2007
1140 MCDERMOTT DR STE 104, SUITE 104, WEST CHESTER, PA 19380(610) 696-3100(610) 696-7100 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2019, May 2, 2018, Apr 19, 2018 and 1 more (4 updates tracked since 2016).

About Source One Pharmacy Services Llc NPPES

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

SOURCE ONE PHARMACY SERVICES LLC (NPI 1376727495) is a healthcare organization registered as a long term care pharmacy in West Chester, Pennsylvania and active in the NPI registry since December 2007. The organization lists Constantine Nicholas Pippis, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376727495
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSOURCE ONE PHARMACY SERVICES LLC
Location Address1140 MCDERMOTT DR STE 104, SUITE 104West Chester, PA 19380-4043
Mailing Address1140 Mcdermott Dr Ste 104, Suite 104West Chester, PA 19380-4043 · (610) 696-3100 · Fax (610) 696-7100
Phone(610) 696-3100
Fax(610) 696-7100
Organization SubpartNo
Authorized OfficialConstantine Nicholas PippisOwner/pharmacist · (610) 696-3100
Enumeration DateDecember 26, 2007
Last NPPES UpdateOctober 2, 20194 updates tracked since enumeration
✔ NPI 1376727495 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.

1140 MCDERMOTT DR STE 104, West Chester, PA 19380
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Other Identifiers 6

Medicaid04172987NY
Medicaid1376727495DE
Medicaid0187470NJ
Medicaid1021341960002PA
Other2082394Pk
Medicaid535302500MD

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MS. JAMIE ELIZABETH TAKOUSHIAN RPH
Pharmacist
1140 MCDERMOTT DR STE 104
WEST CHESTER, PA 19380
Chester County (610) 696-3100

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 Source One Pharmacy Services LLC's NPI number?

The NPI number for Source One Pharmacy Services LLC is 1376727495. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Source One Pharmacy Services LLC located?

Source One Pharmacy Services LLC is located at 1140 Mcdermott Dr Ste 104 Suite 104, West Chester, PA 19380. The listed phone number is (610) 696-3100.

What is Source One Pharmacy Services LLC's specialty?

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

What insurance does Source One Pharmacy Services LLC accept?

Health plans from Moda Health Plan, Inc. list Source One Pharmacy Services 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 Source One Pharmacy Services LLC was last updated on October 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.