National Provider Identifier Database

PRIMARY CHOICE PHARMACY LLC
Pharmacy

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.


Contact Information

PRIMARY CHOICE PHARMACY LLC
5575 OLD YORK RD
PHILADELPHIA, PA19141
Phone: 215-437-9043
Fax: 215-437-9045
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for PRIMARY CHOICE PHARMACY LLC

NPI Number 1194126128
Legal business name
LBN
PRIMARY CHOICE PHARMACY LLC
Authorized official EMMANUIL SHAMILOV - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/09/2014
Last updated 07/08/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PP482510
  • PA Medicaid: 1029774280002
  • PA Other: 1194126128 DURABLE MEDICAL EQUIPMENT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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