Active NPI
Pentec Health Inc
- Home Infusion Therapy Pharmacy
- Upper Chichester, PA
National Provider Identifier
1770528994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PP413743L
- Legal business name
- PENTEC HEALTH INC
- Practice address
- 4 Creek Pkwy
Upper Chichester, PA 19061-3132 - Phone
- (610) 494-8700
- Fax
- (610) 494-7328
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Mollman
- Title
- Cfo
- Phone
- (610) 494-8700
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | PP413743L | PA | Primary |
| Specialty Pharmacy | 3336S0011X | |||
| Medical Foods Supplier | 335G00000X |
Addresses
Primary practice location
4 Creek Pkwy
Upper Chichester, PA 19061-3132
Mailing address
4 Creek Pkwy
Upper Chichester, PA 19061-3132
Phone (610) 494-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084931 | Other | PK | |
| 001093247001 | Medicaid | PA |
Other names 1
- PENTEC HEALTH, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100326000122 | PA | Part B Supplier - Pharmacy | 8426184789 | Practice locations: Boothwyn, PA |
| O20100930088184 | PA | DME Supplier - Pharmacy | 8426184789 | Practice locations: Upper Chichester, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pentec Health Inc | Infusion Drugs|External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Luverne, MN
- NPI 1568735090
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1770528994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CREEK PKWY",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190613132",
"telephone_number": "610-494-8700",
"fax_number": "610-494-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CREEK PKWY",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190613132",
"telephone_number": "610-494-8700",
"fax_number": "610-494-7328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENTEC HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "MOLLMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "610-494-8700"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "PA",
"license": "PP413743L",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2084931",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001093247001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PENTEC HEALTH, INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PENTEC HEALTH, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Chichester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.