Boothwyn Apothecary, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BOOTHWYN APOTHECARY, LLC

Practice address

2341 Chichester Ave
Upper Chichester, PA 19061-3737

Phone

(610) 485-1130

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Noel Boehm

Title

Pharmacist in Charge

Phone

(610) 485-1130

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Boothwyn Apothecary LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boothwyn Apothecary, LLC

  • Community/Retail Pharmacy
  • Upper Chichester, PA
  • NPI 1649601998
  NPD tax ID

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1134720352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 CHICHESTER AVE",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613737",
            "telephone_number": "610-485-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 CHICHESTER AVE",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613737",
            "telephone_number": "610-485-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHWYN APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "610-485-1130"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103281552-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Colleen Arndts, MS, LPC, LPCMH
• Tarlan Arshian, DMD
• Lylelaine Bacalla
• Balance Prosthetics and Orthotics Inc
• Noel Boehm
• Boothwyn Apothecary, LLC
• Maryn R Brutus, OTD, OTR/L
• Racheal Bundor, CEO
• Matthew Burrichter, PHARMD
• Katie Cao

• Long Term Care Pharmacy in Upper Chichester, PA
• Providers in Upper Chichester, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.