Active NPI
Concept Pharmacy Services Penn LLC
- Long Term Care Pharmacy
- Washington, PA
National Provider Identifier
1275290280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220824002387 | PA | Part B Supplier - Pharmacy | 5799168787 | Practice locations: Washington, PA |
National Provider Directory
National Provider DirectoryLocations
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.