Organization Active NPI

Concept Pharmacy Services Penn LLC

  • Long Term Care Pharmacy
  • Washington, PA
National Provider Identifier
1275290280
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CONCEPT PHARMACY SERVICES PENN LLC
Practice address
2000 Park Place Dr Ste 213
Washington, PA 15301-2063
Phone
(878) 229-5511
Fax
(878) 229-5055
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Hillel Brull
Title
Ceo
Phone
(570) 875-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2000 Park Place Dr Ste 213
Washington, PA 15301-2063

Mailing address

639 Chestnut Street
Ashland, PA 17921
Phone (570) 875-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824002387 PA Part B Supplier - Pharmacy 5799168787 Practice locations: Washington, PA

National Provider Directory

National Provider Directory

Locations

2000 Park Place Dr
Ste 213
Washington, PA 15301
Phone (878) 229-5511

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1275290280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 CHESTNUT STREET",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "17921",
            "telephone_number": "570-875-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PARK PLACE DR STE 213",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012063",
            "telephone_number": "878-229-5511",
            "fax_number": "878-229-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT PHARMACY SERVICES PENN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BRULL",
        "authorized_official_first_name": "HILLEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-875-3611"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.