Organization Active NPI

Stellar Pharmacy Services, Inc.

  • Specialty Pharmacy
  • Avondale, PA
National Provider Identifier
1417355579
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
STELLAR PHARMACY SERVICES, INC.
Doing business as
Stellar Rx
Practice address
302 Industrial Dr
Avondale, PA 19311-9769
Phone
(610) 910-9580
Fax
(610) 537-5055
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Brian E Steltz, RPH
Title
Secretary
Phone
(610) 910-9580

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

302 Industrial Dr
Avondale, PA 19311-9769

Mailing address

302 Industrial Drive
Avondale, PA 19311
Phone (610) 910-9580

Other names 1

  • Stellar Rx Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001928 PA DME Supplier - Pharmacy 4385955517 Practice locations: Avondale, PA

National Provider Directory

National Provider Directory

Locations

302 Industrial Dr
Avondale, PA 19311
Phone (610) 910-9580

23 Industrial Blvd
Paoli, PA 19301
Phone (610) 578-0411

Practitioners & affiliated clinicians

Practitioners 3

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": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1417355579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 INDUSTRIAL DRIVE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "19311",
            "telephone_number": "610-910-9580",
            "fax_number": "484-801-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 INDUSTRIAL DR",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119769",
            "telephone_number": "610-910-9580",
            "fax_number": "610-537-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "STELTZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "610-910-9580",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stellar Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.