Active NPI
Fair Hill Community Physicians
- Clinic Pharmacy
- Philadelphia, PA
National Provider Identifier
1700728680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- FAIR HILL COMMUNITY PHYSICIANS
- Practice address
- 1300 W Lehigh Ave Ste 102
Philadelphia, PA 19132-2760 - Phone
- (267) 295-8250
- Fax
- (484) 233-1007
- NPI assigned
- Apr 8, 2026
- Organization subpart
- Yes
- Parent organization
- FAIR HILL COMMUNITY PHYSICIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Demilio
- Title
- President & Ceo
- Phone
- (267) 264-4669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
1300 W Lehigh Ave Ste 102
Philadelphia, PA 19132-2760
Mailing address
100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone (267) 295-8250
Other names 1
- Fair Hill Pharmacy at Liberty Square
National Provider Directory
National Provider Directory- Tax ID family
- Fair Hill Community Physicians
- Part of
- Fair Hill Community Physicians
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1437976149
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1457049439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1700728680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191251012",
"telephone_number": "267-295-8250",
"fax_number": "484-233-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W LEHIGH AVE STE 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322760",
"telephone_number": "267-295-8250",
"fax_number": "484-233-1007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR HILL COMMUNITY PHYSICIANS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAIR HILL COMMUNITY PHYSICIANS",
"enumeration_date": "2026-04-08",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "DEMILIO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "267-264-4669"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fair Hill Pharmacy at Liberty Square",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.