Four Star Pharmacy II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482266 Issued in PA

Legal business name

FOUR STAR PHARMACY II LLC

Practice address

6542 Lebanon Ave
Philadelphia, PA 19151-3328

Phone

(215) 877-2400

Fax

(215) 877-2403

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Iyabode Leah Adewale, PHARM.DNPI 1811955727

Title

Pharmacist

Phone

(215) 877-2400

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 3

• Four Star Pharmacy II Doing business as
• TOTAL FAMILY PHARMACY Doing business as
• FOUR STAR PHARMACY II LLC DBA TOTAL FAMILY PHARMACY Other name

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iyabode Leah Adewale, R.PH

  • Pharmacist
  • Huntingdon Valley, PA
  • NPI 1811955727
  NPD Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1598023400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 LEBANON AVE APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513337",
            "telephone_number": "215-877-2400",
            "fax_number": "215-877-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 LEBANON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513328",
            "telephone_number": "215-877-2400",
            "fax_number": "215-877-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "IYABODE",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-877-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027396500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Star Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Star Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOTAL FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOUR STAR PHARMACY II LLC DBA TOTAL FAMILY PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fountain Medical Associates P C
• Koreema Fountain
• Four Haven Home Care
• Four Seas Acupuncture LLC
• Four Star Pharmacy
• Jennifer L Foust, PHD MS LPC
• Rita A Foust, PA-C
• Andrew David Fowler, MD
• Jessica Fowler, MD, MPH
• Kathryn Fowler, MSS, LSW

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.