Provider Demographics
NPI:1437154937
Name:ASTON PHARMACY, INC.
Entity Type:Organization
Organization Name:ASTON PHARMACY, INC.
Other - Org Name:THE HOME HEALTH CENTER AT ASTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSELLI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-494-1445
Mailing Address - Street 1:10 SCHEIVERT AVE
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2762
Mailing Address - Country:US
Mailing Address - Phone:610-494-1445
Mailing Address - Fax:610-494-7697
Practice Address - Street 1:10 SCHEIVERT AVE
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-2762
Practice Address - Country:US
Practice Address - Phone:610-494-1445
Practice Address - Fax:610-494-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP410090L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005761780001Medicaid
3909946OtherNCPDP
3909946OtherNCPDP