Organization Active NPI

V V L S Pharmacy LLC

  • Specialty Pharmacy
  • Trevose, PA
National Provider Identifier
1881680718
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH29216 Issued in FL
Legal business name
V V L S PHARMACY LLC
Doing business as
Altruix
Practice address
3800 Horizon Blvd
Ste 103
Trevose, PA 19053-4968
Phone
(215) 494-9403
Fax
(215) 357-2129
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Randy Hyun
Title
Ceo
Phone
(667) 408-7767

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X A9-0001619 DE
Community/Retail Pharmacy 3336C0003X PP410111L PA
Community/Retail Pharmacy 3336C0003X 033631 NY
Community/Retail Pharmacy 3336C0003X 28RO00089200 NJ
Community/Retail Pharmacy 3336C0003X NRX0000677 DC
Community/Retail Pharmacy 3336C0003X 0214001747 VA
Community/Retail Pharmacy 3336C0003X P06955 MD
Specialty Pharmacy 3336S0011X PH29216 FL Primary

Addresses

Primary practice location

3800 Horizon Blvd
Ste 103
Trevose, PA 19053-4968

Mailing address

40 Wight Ave Ste 100
Cockeysville, MD 21030-2148
Phone (667) 408-7767

Other identifiers 2

IdentifierTypeStateIssuer
1007473110001MedicaidPA
2125309OtherPK

Other names 1

  • Altruix Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101217000858 PA DME Supplier - Pharmacy 2264620137 Practice locations: Trevose, PA
O20241120003448 PA Part B Supplier - Pharmacy 2264620137 Practice locations: Trevose, 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
V V L S Pharmacy Inc3800 Horizon Blvd, Trevose, PA 19053-4968(215) 494-9403 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Apr 21, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3800 Horizon Blvd
Ste 103
Trevose, PA 19053
Phone (215) 494-9403

Practitioners & affiliated clinicians

Practitioners 1

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1881680718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WIGHT AVE STE 100",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302148",
            "telephone_number": "667-408-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HORIZON BLVD",
            "address_2": "STE 103",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534968",
            "telephone_number": "215-494-9403",
            "fax_number": "215-357-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V V L S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-408-7767"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "DE",
            "license": "A9-0001619",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410111L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033631",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RO00089200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "NRX0000677",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0214001747",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06955",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH29216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007473110001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altruix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.