Organization Active NPI

SVM1 Pharma Inc

  • Community/Retail Pharmacy
  • Mercersburg, PA
National Provider Identifier
1114006376
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411136L Issued in PA
Legal business name
SVM1 PHARMA INC
Practice address
52 Keefer Dr
Mercersburg, PA 17236-1732
Phone
(717) 328-3612
Fax
(717) 328-0159
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Krishna Koneru
Title
Manager
Phone
(717) 462-9543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411136L PA Primary

Addresses

Primary practice location

52 Keefer Dr
Mercersburg, PA 17236-1732

Mailing address

52 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-3612

Other identifiers 2

IdentifierTypeStateIssuer
2145433OtherPK
1029319930001MedicaidPA

Other names 1

  • MODNUR PRESCRIPTION PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140822000878 PA DME Supplier - Pharmacy 7416175088 Practice locations: Mercersburg, PA
O20141121000915 PA Part B Supplier - Mass Immunization (Roster Biller Only) 7416175088 Practice locations: Mercersburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SVM1 Pharma Inc52 Keefer Dr, Mercersburg, PA 17236-1732(717) 328-3612 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Surgical Dressings|Diabetic Shoes and Inserts Accepts assignmentParticipating since Sep 10, 2014

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

52 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-3612

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1114006376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-3612",
            "fax_number": "717-328-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-3612",
            "fax_number": "717-328-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVM1 PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-462-9543"
    },
    "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": "PP411136L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145433",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029319930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODNUR PRESCRIPTION PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MODNUR PRESCRIPTION PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.