Pharmerica Drug Systems LLC
Organization Active NPI Long Term Care Pharmacy · Leesport, PA
NPI 1992738579 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1992738579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PP416519L (PA)
- Legal business name
- PHARMERICA DRUG SYSTEMS LLC
- Practice address
- 1011 Berk Rd
Leesport, PA 19533-8705 - Phone
- (610) 373-1600
- Fax
- (610) 376-5489
- NPI assigned
- Jul 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PHARMERICA CORPORATION
Authorized official
- Name
- Allison L. Brown
- Title
- Secretary
- Phone
- (502) 630-7429
Owned or controlled facilities with NPI records 33
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 20
Member of 4
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmerica Drug Systems LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
All facility ownership & control disclosures 33
| Facility | Type | Role | Since |
|---|---|---|---|
| Valle Verde Health Facility |
Skilled nursing facility | Adp of the SNF | Nov 2, 2017 |
| Monument Health Care Center |
Skilled nursing facility | Adp of the SNF | Aug 1, 2022 |
| Piedmont Gardens Health Facility |
Skilled nursing facility | Adp of the SNF | Mar 3, 2017 |
| Rosewood Health Facility |
Skilled nursing facility | Adp of the SNF | Apr 29, 2025 |
| Summitview Rehab and Health Center |
Skilled nursing facility | Adp of the SNF | Feb 22, 2022 |
| Pharmerica |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Apr 9, 2025 |
| Elmhurst Extended Care Center |
Skilled nursing facility | Adp of the SNF | Aug 25, 2025 |
| Accel at Willow Bend |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Williamsburg Village Healthcare Campus |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| The Plaza at Lubbock |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Garnet Hill Rehabilitation and Skilled Care |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Settlers Ridge Care Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| The Villages on Macarthur |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Baybrooke Village Care and Rehab Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Elmhurst Rehabilitation and Healthcare Center |
Skilled nursing facility | Adp of the SNF | May 19, 2025 |
| Reunion Plaza Senior Care and Rehabilitation Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Heritage Plaza Nursing Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Pine Grove Nursing Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Briarcliff Skilled Nursing Facility |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Colonial Pines Healthcare Center |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Redwood Terrace Health Center |
Skilled nursing facility | Adp of the SNF | Jun 30, 2020 |
| Providence Park Rehabilitation and Skilled Nursing |
Skilled nursing facility | Adp of the SNF | Aug 27, 2017 |
| Garland Road Nursing & Rehab Center |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Highland Park Health Care |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Meadowlake Estates |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Tuscany Village Nursing Center |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Ranchwood Nursing Center |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Noble Health Care Center |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Montevista Rehabilitation and Skilled Care |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Tulsa Nursing Center |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| Medical Park West Rehabilitation and Skilled Care |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| The Villages at Southern Hills |
Skilled nursing facility | Adp of the SNF | Aug 29, 2017 |
| The Boulevard Post Acute |
Skilled nursing facility | Adp of the SNF | May 19, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160606001463 | PA | DME Supplier - Pharmacy | 9537280086 | Practice locations: Leesport, PA |
| O20210125000334 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9537280086 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hanover Township, PA; Leesport, PA; Horsham, PA |
National Provider Directory
- Tax ID family
- Pharmerica Drug Systems Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | PP416519L | PA | Yes |
Addresses
Primary practice location
1011 Berk Rd
Leesport, PA 19533-8705
Mailing address
3802 Corporex Park Dr
Ste 200
Tampa, FL 33619-1125
Phone (813) 318-6039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007511810036 | Medicaid | PA | |
| 3948265 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- PHARMERICA
Other providers in Leesport, PA
- Katlyn Noel
- Occupational Health Centers of the Southwest P.a.
- Genevieve Beetham Pallas
- Kenneth Christopher Paz
- Pennsylvania CVS Pharmacy LLC
- Je Ann Michelle Pilconis
- Power of Love for Seniors, LLC
- Agnieszka Magdalena Radwan-Woch
- Abigail Rea
- Redner'S Markets, Inc.
All providers in Leesport, 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 Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.