BLUEGRASS LLC NPI 1891858411

NPI Information

  • NPI: 1891858411
  • Provider Name: BLUEGRASS LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: BLUEGRASS PHARMACY
  • Address: 656 W STREET RD
    FEASTERVILLE TREVOSE, PA
    ZIP 19053
  • Phone: (215) 676-7650

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NPI Details

BLUEGRASS LLC is a community/retail pharmacy pharmacy in Feasterville Trevose, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BLUEGRASS LLC NPI is 1891858411. The provider is registered as an organization entity type.
The provider Is Doing Business As Bluegrass Pharmacy.

The provider's business location address is:

656 W STREET RD
FEASTERVILLE TREVOSE, PA
ZIP 19053-963
Phone: (215) 676-7650
Fax: (215) 676-8086

The provider's authorized official is Julia Kazarov .
The authorized official title is Owner and has the following contact phone number (215) 990-7700.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 1/16/2024.

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
13336C0003XPharmacyCommunity/Retail PharmacyPP481659PENNSYLVANIAYes

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
110186675001MEDICAIDPENNSYLVANIA
22081747OTHERPK

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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