Active NPI
Accredo Health Group Inc
- Pharmacy
- Warrendale, PA
National Provider Identifier
1972710176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP415423L
- Legal business name
- ACCREDO HEALTH GROUP INC
- Doing business as
- Accredo Health Group Inc
- Practice address
- 3000 Ericsson Dr
Suite 100
Warrendale, PA 15086-6501 - Phone
- (724) 772-6000
- Fax
- (724) 742-2450
- NPI assigned
- May 17, 2007
- Last updated
- Dec 5, 2025
- 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
- Vic Perini
- Title
- Assistant Secretary
- Phone
- (314) 684-6924
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP415423L | PA | Primary |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
3000 Ericsson Dr
Suite 100
Warrendale, PA 15086-6501
Mailing address
PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141
Other identifiers 47
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000016072 | Medicaid | DE | |
| 100245550A | Medicaid | OK | |
| 100245550B | Medicaid | OK | |
| 1007777870026 | Medicaid | PA | |
| 200393 | Medicaid | IN | |
| 2094317 | Medicaid | OH | |
| 21285 | Medicaid | ND | |
| 334178 | Medicaid | AZ | |
| 500400001 | Medicaid | OR | |
| PPA99169 | Medicaid | PA | |
| 0514166 | Medicaid | IA | |
| 1008681 | Medicaid | VT | |
| 200073250A | Medicaid | IN | |
| 223504800 | Medicaid | MD | |
| 4582531 | Medicaid | TN | |
| 9025743700 | Medicaid | KY | |
| 003097591 | Medicaid | CT | |
| 2081968 | Other | PK | |
| 500400005 | Medicaid | OR | |
| 321404400 | Medicaid | MD | |
| 4042714 | Medicaid | TN | |
| 0014699 | Medicaid | NJ | |
| 018650500 | Medicaid | DC | |
| 1417915653 | Medicaid | MT | |
| 160980002 | Medicaid | ME | |
| 71979760 | Medicaid | NM | |
| 0007345000 | Medicaid | WV | |
| 0014681 | Medicaid | NJ | |
| 165745 | Medicaid | OR | |
| 508187 | Medicaid | HI | |
| 54034285 | Medicaid | KY | |
| 6021851 | Medicaid | WA | |
| 7331515 | Medicaid | WA | |
| 7P5423 | Medicaid | SC | |
| OH24981 | Medicaid | RI | |
| 003140233 | Medicaid | CT | |
| 134364741 | Medicaid | AR | |
| 325318000 | Medicaid | MN | |
| 62246 | Medicaid | NM | |
| 7397489 | Medicaid | PA | |
| 9117784 | Medicaid | VA | |
| 02364978 | Medicaid | NY | |
| 034336100 | Medicaid | DC | |
| 5601857 | Medicaid | MT | |
| 8517690 | Medicaid | VA | |
| DM1235 | Medicaid | SC | |
| PH235PA | Medicaid | AK |
Other names 1
- ACCREDO HEALTH GROUP INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1972710176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954041",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001",
"telephone_number": "901-381-7141",
"fax_number": "901-261-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ERICSSON DR",
"address_2": "SUITE 100",
"city": "WARRENDALE",
"state": "PA",
"postal_code": "150866501",
"telephone_number": "724-772-6000",
"fax_number": "724-742-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCREDO HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "PERINI",
"authorized_official_first_name": "VIC",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "314-684-6924"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP415423L",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
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"license": null,
"primary": false
}
],
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],
"endpoints": [],
"other_names": [
{
"organization_name": "ACCREDO HEALTH GROUP INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ACCREDO HEALTH GROUP INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warrendale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.