Elissa Marie Devenny, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP452580 Issued in PA

Practice address

142 S 52ND St
Philadelphia, PA 19139-3409

Phone

(215) 471-4000

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elissa Marie Muller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neff Drugs 30 LLC

  • Specialty Pharmacy
  • Philadelphia, PA
  • NPI 1477904449
  NPD (past) Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1255970646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S 52ND ST STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393409",
            "telephone_number": "215-471-4000",
            "fax_number": "215-471-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S 52ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393409",
            "telephone_number": "215-471-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENNY",
        "first_name": "ELISSA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04023100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104292130-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "MULLER",
            "middle_name": "MARIE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Devaney, CRNP
• Jovita Ann Devasia, DMD
• Gerald Lane Devaughn, M.D.
• Stephanie Devaughn
• Eric Alan Deveaux, M.D.
• Lynn Garvin Dever, MD
• Mary Dever, MSS, LSW
• Maureen Brigid Dever, CRNP, ARNP-BC
• Sarah Dever
• Rudner Holgado Devera, MS

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.