Source One Pharmacy Services Llc
Long Term Care Pharmacy
1140 Mcdermott Dr Ste 104, Suite 104, West Chester
Pennsylvania, 19380-4043
610-696-3100 610-696-7100
Source One Pharmacy Services Llc is a Long Term Care Pharmacy in West Chester, Pennsylvania. It is located at 1140 Mcdermott Dr Ste 104, Suite 104, West Chester and it's customer support contact number is 610-696-3100. The authorized person of Source One Pharmacy Services Llc is Constantine Nicholas Pippis, RPH who is Owner/pharmacist of the pharmacy and his contact number is 610-696-3100. Source One Pharmacy Services Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Source One Pharmacy Services 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:
Source One Pharmacy Services 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: | Source One Pharmacy Services Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 1140 Mcdermott Dr Ste 104, Suite 104, West Chester,
Pennsylvania, 19380-4043 |
| Phone: | 610-696-3100 |
| Fax: | 610-696-7100 |
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: | Constantine Nicholas Pippis |
| Credentials: | RPH |
| Position: | Owner/pharmacist |
| Contact Number: | 610-696-3100 |
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: | 1376727495 |
| NPI Enumeration Date: | 26 Dec, 2007 |
| NPI Last Update On: | 02 Oct, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Source One Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
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 |
| 04172987 | Medicaid | New York | |
| 1376727495 | Medicaid | Delaware | |
| 2082394 | Other | | Pk |
| 0187470 | Medicaid | New Jersey | |
| 1021341960002 | Medicaid | Pennsylvania | |
| 535302500 | Medicaid | Maryland | |
Medicare Enrollment:
Source One Pharmacy Services 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 |
| 0345402525 | O20120504000223 | Source One Pharmacy Services Llc | DME SUPPLIER - PHARMACY |
Products Available:
Source One Pharmacy Services Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Urological Supplies | • Walkers |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1140 Mcdermott Dr Ste 104, Suite 104
West Chester, Pennsylvania |
| Zip: | 19380-4043 |
| Phone Number: | 610-696-3100 |
| Fax Number: | 610-696-7100 |
Patients can reach Source One Pharmacy Services Llc at
1140 Mcdermott Dr Ste 104, Suite 104, West Chester, Pennsylvania or can
call on customer care at 610-696-3100.
Comments/ Reviews:
Read all the reviews posted for Source One Pharmacy Services Llc below. You may also share your own experience with Source One Pharmacy Services Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.