Organization Active NPI

Summit Health Pharmacy, LLC

  • Pharmacy
  • Brookhaven, PA
National Provider Identifier
1497740435
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP412241L Issued in PA
Legal business name
SUMMIT HEALTH PHARMACY, LLC
Practice address
3400 Edgmont Ave
Brookhaven, PA 19015
Phone
(610) 872-5418
Fax
(610) 872-1969
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Austin Christopher Murphy
Title
VP/Secretary/Manager
Phone
(305) 808-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP412241L PA Primary

Addresses

Primary practice location

3400 Edgmont Ave
Brookhaven, PA 19015

Mailing address

3400 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 872-5418

Other identifiers 2

IdentifierTypeStateIssuer
0015234190002MedicaidPA
PP412241LOtherPACOMMONWEALTH OF PA

Other names 2

  • Summit Health Pharmacy Inc Doing business as
  • Burmans Community Pharmacy Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411002116 PA Part B Supplier - Pharmacy 9537445291 Practice locations: Brookhaven, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Summit Health Pharmacy Inc3400 Edgmont Ave, Brookhaven, PA 19015-2804(610) 872-5418 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 30, 2017

National Provider Directory

National Provider Directory

Locations

3400 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 872-5418

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": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1497740435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "19015",
            "telephone_number": "610-872-5418",
            "fax_number": "610-872-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "19015",
            "telephone_number": "610-872-5418",
            "fax_number": "610-872-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP/SECRETARY/MANAGER",
        "authorized_official_telephone_number": "305-808-9838"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412241L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015234190002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA",
            "identifier": "PP412241L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burmans Community Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Burmans Community Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.