Organization provider

PHARMBLUE LLC

Community/Retail Pharmacy Medicare enrolled

PHARMBLUE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1386984771, based in Philadelphia, PA. It is classified under Community/Retail Pharmacy.

Getting there

The practice address on file is 1226 CHESTNUT ST, Philadelphia, PA 19107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1226 CHESTNUT ST, Philadelphia, PA 19107 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A9-0001259 DE Community/Retail Pharmacy
22-13036 KS Community/Retail Pharmacy
NRX0000260 DC Community/Retail Pharmacy
OSP.0006224 CO Community/Retail Pharmacy
PMP854 HI Community/Retail Pharmacy
PA1671 KY Community/Retail Pharmacy
22299MS ID Community/Retail Pharmacy
PCN.0002541 CT Community/Retail Pharmacy
PH27097 FL Community/Retail Pharmacy
64001499A IN Community/Retail Pharmacy
4214 IA Community/Retail Pharmacy
054.018350 IL Community/Retail Pharmacy
PHNR000016 GA Community/Retail Pharmacy
1495 CA Community/Retail Pharmacy
PHAO1275 AK Community/Retail Pharmacy primary

Licences are recorded in 15 states: DE, KS, DC, CO, HI, KY, ID, CT, FL, IN, IA, IL, GA, CA, AK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Pharmacy
PAC ID
3678711769
Enrollment ID
O20130531000191

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Pharmacy. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 15 states

This provider holds licences in 15 states: Alaska, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas and Kentucky. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AK Alaska
Licence
PHAO1275
Specialty
Community/Retail Pharmacy
Verify with the AK board →
CA California
Licence
1495
Specialty
Community/Retail Pharmacy
Verify with the CA board →
CO Colorado
Licence
OSP.0006224
Specialty
Community/Retail Pharmacy
Verify with the CO board →
CT Connecticut
Licence
PCN.0002541
Specialty
Community/Retail Pharmacy
Verify with the CT board →
DC District of Columbia
Licence
NRX0000260
Specialty
Community/Retail Pharmacy
Verify with the DC board →
DE Delaware
Licence
A9-0001259
Specialty
Community/Retail Pharmacy
Verify with the DE board →
FL Florida
Licence
PH27097
Specialty
Community/Retail Pharmacy
Verify with the FL board →
GA Georgia
Licence
PHNR000016
Specialty
Community/Retail Pharmacy
Verify with the GA board →
HI Hawaii
Licence
PMP854
Specialty
Community/Retail Pharmacy
Verify with the HI board →
IA Iowa
Licence
4214
Specialty
Community/Retail Pharmacy
Verify with the IA board →
ID Idaho
Licence
22299MS
Specialty
Community/Retail Pharmacy
Verify with the ID board →
IL Illinois
Licence
054.018350
Specialty
Community/Retail Pharmacy
Verify with the IL board →
IN Indiana
Licence
64001499A
Specialty
Community/Retail Pharmacy
Verify with the IN board →
KS Kansas
Licence
22-13036
Specialty
Community/Retail Pharmacy
Verify with the KS board →
KY Kentucky
Licence
PA1671
Specialty
Community/Retail Pharmacy
Verify with the KY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Community/Retail Pharmacy covers

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. NUCC Health Care Provider Taxonomy, code 3336C0003X
Suppliers Pharmacy Community/Retail Pharmacy

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy A9-0001259 DE
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 22-13036 KS
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy NRX0000260 DC
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy OSP.0006224 CO
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PMP854 HI
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PA1671 KY
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 22299MS ID
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PCN.0002541 CT
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PH27097 FL
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 64001499A IN
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 4214 IA
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 054.018350 IL
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PHNR000016 GA
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 1495 CA
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PHAO1275 AK primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1386984771 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 21, 2013
Last updatedFeb 20, 2025
StatusActive
Practice address 1226 CHESTNUT ST
Philadelphia, PA 19107
(855) 779-4720
Fax (558) 779-4721
Mailing address 10604 COURSEY BLVD
Baton Rouge, LA 70816
Other names Avita Former Legal Name
Avita Pharmacy 1059 Former Legal Name
Pharmblue Llc Former Legal Name
Other identifiers 10026562700 · Medicaid (NE)
102811091 0001 · Medicaid (PA)
1386984771 · Medicaid (WA)
1386984771 · Medicaid (VA)
1386984771 · Medicaid (MT)
1386984771 · Medicaid (TN)
1386984771 · Medicaid (MN)
152103 · Medicaid (OH)
2139860 · Other
3096207 · Medicaid (NH)
48076554 · Medicaid (NM)
500689502 · Medicaid (OR)
70409100 · Medicaid (MD)
7P2344 · Medicaid (SC)
82828501 · Medicaid (DC)
This record was updated on Feb 20, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1386984771 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 9 8 4 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 9 8 8 7 5

Sum = 79 · next multiple of 10 = 80 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386984771?
NPI 1386984771 is the National Provider Identifier assigned to PHARMBLUE LLC in Philadelphia, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Community/Retail Pharmacy cover?
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…
How do I contact PHARMBLUE LLC?
The phone number on file with NPPES is (855) 779-4720, last updated Feb 20, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PHARMBLUE LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386984771 a valid number?
Yes. 1386984771 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.