Longenecker Pharmacy

LBN: Om Saidev Llc
Longenecker Pharmacy is an health care organization with primary practice located at 5360 Lincoln Hwy Suite 10, Gap PA 17527-9451. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Om Saidev Llc can be contacted via phone (717) 442-9523, or through Donepudi, Umamaheswara via phone (717) 442-9523.

Contact Information

Primary practice address
5360 Lincoln Hwy Suite 10 Gap PA 17527-9451
Fax: (717) 442-5246
Website:
Authorized official contact:
Name: Donepudi, Umamaheswara

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP411414L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730125287
LBN Legal business name Om Saidev Llc
DBA Doing business as Longenecker Pharmacy
Authorized official Donepudi, Umamaheswara
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730125287 NPPES
Pennsylvania MEDICAID 1029008520001
Pennsylvania Other 2144225

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