Camilla Hall Pharmacy
Organization Active NPI Long Term Care Pharmacy · Immaculata, PA
NPI 1720021082 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1720021082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- CAMILLA HALL PHARMACY
- Practice address
- Camilla Hall Nursing Home
1145 King Rd
Immaculata, PA 19345-0100 - Phone
- (610) 644-1152
- Fax
- (610) 695-0691
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Sister Jeanne Crowe, RPH
- Title
- Director of Pharmacy
- Phone
- (610) 695-8125
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Camilla Hall Infirmary
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP414299L | PA | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
Camilla Hall Nursing Home
1145 King Rd
Immaculata, PA 19345-0100
Mailing address
PO Box 100
Immaculata, PA 19345-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3959977 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other providers in Immaculata, PA
- Camilla Hall Nursing Home
- Luis Angel Flores
- Sharon Marie Jones
- Donna Marie Kelley
- Randie Kuhar
- Alexandra E Landen
All providers in Immaculata, PA · Long Term Care Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.