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DERRY STREET PHARMACY LLC
NPI 1386126803
Pharmacy in Harrisburg, PA

Active since August 31, 2018
1304 DERRY ST, HARRISBURG, PA 17104(717) 547-6219 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Dec 3, 2022, Aug 31, 2018 (3 updates tracked since 2018).

About Derry Street Pharmacy Llc NPPES

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

DERRY STREET PHARMACY LLC (NPI 1386126803) is a healthcare organization registered as a pharmacy in Harrisburg, Pennsylvania and active in the NPI registry since August 2018. The organization lists Raju Katla, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1386126803
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameDERRY STREET PHARMACY LLC
Location Address1304 DERRY STHarrisburg, PA 17104-1184
Mailing Address1304 Derry StHarrisburg, PA 17104-1184 · (717) 547-6219
Phone(717) 547-6219
Organization SubpartNo
Authorized OfficialRaju KatlaPharmacy Manager · (717) 547-6219
Enumeration DateAugust 31, 2018
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1386126803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP482814
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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PP482814 (PA)
1304 DERRY ST, Harrisburg, PA 17104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Derry Street Pharmacy LLC's NPI number?

The NPI number for Derry Street Pharmacy LLC is 1386126803. It was assigned to this organization in the NPPES registry on August 31, 2018.

Where is Derry Street Pharmacy LLC located?

Derry Street Pharmacy LLC is located at 1304 Derry St, Harrisburg, PA 17104. The listed phone number is (717) 547-6219.

What is Derry Street Pharmacy LLC's specialty?

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

What insurance does Derry Street Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Derry Street 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 Derry Street Pharmacy LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.