Organization Active NPI

Fountain Hill Pharmacy Inc

  • Compounding Pharmacy
  • Fountain Hill, PA
National Provider Identifier
1235261405
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PP411106L Issued in PA
Legal business name
FOUNTAIN HILL PHARMACY INC
Practice address
1049 Broadway
Fountain Hill, PA 18015-4148
Phone
(610) 866-6737
Fax
(610) 866-8309
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nicholas Chaffier, R.PH.NPI 1255463436
Title
Pharmacist President
Phone
(610) 866-6737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411106L PA
Community/Retail Pharmacy 3336C0003X PP411106L PA
Compounding Pharmacy 3336C0004X PP411106L PA Primary
Long Term Care Pharmacy 3336L0003X PP411106L PA
Mail Order Pharmacy 3336M0002X PP411106L PA

Addresses

Primary practice location

1049 Broadway
Fountain Hill, PA 18015-4148

Mailing address

1049 Broadway
Fountain Hill, PA 18015-4148
Phone (610) 866-6737

Other identifiers 1

IdentifierTypeStateIssuer
001434800 002 24MedicaidPA

National Provider Directory

National Provider Directory

Locations

1049 Broadway
Fountain Hill, PA 18015
Phone (610) 866-6737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235261405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154148",
            "telephone_number": "610-866-6737",
            "fax_number": "610-866-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROADWAY",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154148",
            "telephone_number": "610-866-6737",
            "fax_number": "610-866-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAFFIER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHARMACIST PRESIDENT",
        "authorized_official_telephone_number": "610-866-6737",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411106L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411106L",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP411106L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP411106L",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "PA",
            "license": "PP411106L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001434800 002 24",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.