Suburban Bustleton Pharmacy Inc. is an authorized DME supplier for medicare equipments and products.
Suburban Bustleton Pharmacy Inc. is a Pharmacy in Philadelphia, Pennsylvania. It is located at 10875 Bustleton Avenue, Philadelphia and it's customer support contact number is 215-673-0994. The authorized person of Suburban Bustleton Pharmacy Inc. is Ms. Jane Dzierza who is Owner of the pharmacy and her contact number is 215-673-0994. Active license number of Suburban Bustleton Pharmacy Inc. is PP412433L for Pharmacy in Pennsylvania. Suburban Bustleton Pharmacy Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Suburban Bustleton Pharmacy Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Suburban Bustleton Pharmacy Inc. 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.
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:
Ms. Jane Dzierza
Position:
Owner
Contact Number:
215-673-0994
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:
1962560565
NPI Enumeration Date:
05 Dec, 2006
NPI Last Update On:
27 Apr, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Suburban Bustleton Pharmacy Inc. are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PP412433L
Pennsylvania
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
0014348470001
Medicaid
Pennsylvania
Medicare Enrollment:
Suburban Bustleton Pharmacy Inc. 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
6204955222
O20120103000222
Suburban Bustleton Pharmacy Inc.
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:
10875 Bustleton Ave, Philadelphia, Pennsylvania
Zip:
19116-3301
Phone Number:
215-673-0994
Fax Number:
215-969-6176
Patients can reach Suburban Bustleton Pharmacy Inc. at 10875 Bustleton Avenue, Philadelphia, Pennsylvania or can call on customer care at 215-673-0994.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Philadelphia, Pennsylvania
Ema Care Pharmacy Llc Speciality:Pharmacy Address: 6433 Rising Sun Ave, Philadelphia, PA Phone: 215-745-0202 Fax: 215-745-0808Ccn America Lp Speciality:Pharmacy Address: 249 S 13th St, Philadelphia, PA Phone: 844-657-6786 Fax: 267-324-3594Odu Pharmacy Speciality:Community/Retail Pharmacy Address: 1618 W Olney Ave, Philadelphia, PA Phone: 267-297-5056 Visu Llc Speciality:Community/Retail Pharmacy Address: 2334 N 29th St Fl 1, Philadelphia, PA Phone: 215-309-6866 Fax: 215-309-6865Emax Pharmacy Speciality:Pharmacy Address: 4918 Baltimore Ave, Philadelphia, PA Phone: 267-455-2153 Pennsylvania Cvs Pharmacy, L.l.c. Address: 3780 Main St, Philadelphia, PA Phone: 215-508-3607