Springfield Pharmaceuticals LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482265 Issued in PA

Legal business name

SPRINGFIELD PHARMACEUTICALS LLC

Doing business as

Springfield Pharmacy

Practice address

1154 Baltimore Pike
Springfield, PA 19064-2850

Phone

(610) 544-4645

Fax

(610) 544-1757

NPI assigned

Apr 30, 2012

Last updated

Mar 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chimdimma IlonzoNPI 1548588205

Title

Managing Partner

Phone

(610) 544-4645

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Springfield Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chimdimma Ilonzo, PHARM.D.

  • Pharmacist
  • Springfield, PA
  • NPI 1548588205
  NPD Authorized official
• Loc Dao, R.PH

  • Pharmacist
  • Morton, PA
  • NPI 1154919777
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1043578826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642850",
            "telephone_number": "610-544-4645",
            "fax_number": "610-544-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642850",
            "telephone_number": "610-544-4645",
            "fax_number": "610-544-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "ILONZO",
        "authorized_official_first_name": "CHIMDIMMA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "610-544-4645"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springfield Family Chiropractic, P.C.
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• Springfield Opticians
• Springfield Orthodontics
• Springfield PCH LLC (Springfield Crossings)
• Springfield Pharmaceuticals LLC (Springfield Pharmacy)
• Springfield Psychological PC (Associates of Springfield Psychological)
• Springfield School District
• Springfield Sports Emergency Medical Corporation
• Rachel Spurrier

• Community/Retail Pharmacy in Springfield, PA
• Providers in Springfield, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.