PASSAVANT DEVELOPMENT CORPORATION NPI 1093291023

NPI Information

  • NPI: 1093291023
  • Provider Name: PASSAVANT DEVELOPMENT CORPORATION
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PDC PHARMACY
  • Address: 1611 PEACH ST STE 400
    ERIE, PA
    ZIP 16501
  • Phone: (814) 520-8680

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NPI Details

PASSAVANT DEVELOPMENT CORPORATION is a long term care pharmacy pharmacy in Erie, PA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PASSAVANT DEVELOPMENT CORPORATION NPI is 1093291023. The provider is registered as an organization entity type.
The provider Is Doing Business As Pdc Pharmacy.

The provider's business location address is:

1611 PEACH ST STE 400
ERIE, PA
ZIP 16501
Phone: (814) 520-8680
Fax: (814) 520-6386

The provider's authorized official is Christina Funkhouser .
The authorized official title is Vp Of Operations and has the following contact phone number (412) 820-1010.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007303880006MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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