Innovative Pharmacy Llc
Long Term Care Pharmacy
2014 Ford Rd Ste B, Bristol
Pennsylvania, 19007-6743
267-878-0492 267-878-0534
Innovative Pharmacy Llc is a Long Term Care Pharmacy in Bristol, Pennsylvania. It is located at 2014 Ford Rd Ste B, Bristol and it's customer support contact number is 267-878-0492. The authorized person of Innovative Pharmacy Llc is Evan Landa who is Managing Member of the pharmacy and his contact number is 908-216-6680. Active license number of Innovative Pharmacy Llc is PP482279 for Long Term Care Pharmacy in Pennsylvania. Innovative Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Innovative Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Innovative Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 2014 Ford Rd Ste B, Bristol,
Pennsylvania, 19007-6743 |
| Phone: | 267-878-0492 |
| Fax: | 267-878-0534 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Evan Landa |
| Position: | Managing Member |
| Contact Number: | 908-216-6680 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1497017461 |
| NPI Enumeration Date: | 14 Jun, 2012 |
| NPI Last Update On: | 22 Aug, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PP482279 | Pennsylvania | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3997701 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
Innovative Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5991942559 | O20160525000310 | Innovative Pharmacy Llc | PART B SUPPLIER - OTHER |
| 5991942559 | O20160525000824 | Innovative Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2014 Ford Road, Unit B
Bristol, Pennsylvania |
| Zip: | 19007 |
| Phone Number: | 267-878-0492 |
| Fax Number: | 267-878-0534 |
Patients can reach Innovative Pharmacy Llc at
2014 Ford Rd Ste B, Bristol, Pennsylvania or can
call on customer care at 267-878-0492.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.