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BOOTHWYN PHARMACY
NPI 1861561714
Pharmacy - Compounding Pharmacy in Kennett Square, PA

Active since November 07, 2006
221 GALE LN, KENNETT SQUARE, PA 19348(800) 476-7496(610) 497-4371 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boothwyn Pharmacy NPPES

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

BOOTHWYN PHARMACY (NPI 1861561714) is a healthcare organization registered as a compounding pharmacy in Kennett Square, Pennsylvania and active in the NPI registry since November 2006. The organization lists Louis Micolucci, Owner, as its authorized official.

NPPES Registry Identity

NPI1861561714
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameBOOTHWYN PHARMACY LLC
Location Address221 GALE LNKennett Square, PA 19348-1735
Mailing Address221 Gale LnKennett Square, PA 19348 · (800) 476-7496 · Fax (610) 497-4371
Phone(800) 476-7496
Fax(610) 497-4371
Organization SubpartNo
Authorized OfficialLouis MicolucciOwner · (610) 485-1130
Enumeration DateNovember 7, 2006
Last NPPES UpdateMarch 20, 2017
✔ NPI 1861561714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in PA · PP410228L
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
221 GALE LN, Kennett Square, PA 19348
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Other Names 1

Doing Business AsBoothwyn Pharmacy

Other Identifiers 7

Other2082253Pk
Medicaid0936230001NE
Medicaid7100087360KY
Medicaid7P228LSC
Medicaid0014804650002PA
Medicaid200887500AIN
Medicare NSC0936230001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 Boothwyn Pharmacy LLC's NPI number?

The NPI number for Boothwyn Pharmacy LLC is 1861561714. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Boothwyn Pharmacy.

Where is Boothwyn Pharmacy LLC located?

Boothwyn Pharmacy LLC is located at 221 Gale Ln, Kennett Square, PA 19348. The listed phone number is (800) 476-7496.

What is Boothwyn Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Boothwyn Pharmacy LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 28 other insurers list Boothwyn 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 Boothwyn Pharmacy LLC was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.