County Line Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Hatboro, PA
NPI 1215034152 · NPPES record last updated Dec 6, 2011
Key facts
- NPI
- 1215034152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP481317 (PA)
- Legal business name
- COUNTY LINE PHARMACY INC
- Practice address
- 25 S York Rd
Hatboro, PA 19040-3231 - Phone
- (215) 443-7700
- Fax
- (215) 443-8255
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Patrick Eves, RPH
- Title
- Owner
- Phone
- (210) 260-8662
Practitioners 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| County Line Pharmacy Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930074810 | PA | DME Supplier - Pharmacy | 3173731528 | Practice locations: Hatboro, PA |
National Provider Directory
Locations
25 S York Rd
Hatboro, PA 19040
Phone (215) 443-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP481317 | PA | Yes |
| Institutional Pharmacy | 3336I0012X |
Addresses
Primary practice location
25 S York Rd
Hatboro, PA 19040-3231
Mailing address
25 S York Rd
Hatboro, PA 19040-3231
Phone (215) 443-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3982522 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- COUNTY LINE PHARMACY
Other providers in Hatboro, PA
- Emma Marie Convery
- Kelly M Conway
- Corecomp RX LLC
- Jennifer B Coren
- Nicole Ann Corradino
- Jeanne Marie Coviello
- Samuel E Cramek
- Marielle D'Imperio
- Sarah Kathleen Daley
- Daniel J Breuer, DMD PC
All providers in Hatboro, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.