Provider Demographics
NPI:1891166708
Name:PHARMSCRIPT OF PA LLC
Entity Type:Organization
Organization Name:PHARMSCRIPT OF PA LLC
Other - Org Name:PHARMSCRIPT OF PA LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:PO BOX 6534
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-6534
Mailing Address - Country:US
Mailing Address - Phone:908-389-1818
Mailing Address - Fax:732-868-9014
Practice Address - Street 1:200 W KENSINGER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3428
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:732-868-9014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X, 3336C0004X, 3336I0012X
PAPP4826213336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158558OtherPK
7578430001Medicare NSC