Active NPI
Fountain Hill Pharmacy Inc
- Compounding Pharmacy
- Fountain Hill, PA
National Provider Identifier
1235261405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- PP411106L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Chaffier, R.PH.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001434800 002 24 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Fountain Hill, PA
- NPI 1255463436
-
- Pharmacist
- Fountain Hill, PA
- NPI 1912235219
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.