MEDICARE: NEW PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP482324	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2134846	OTHER		PK

General Provider Information

NPI Number	:	1770850448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PHARMACY LLC

Provider Business Mailing Address
First Line	:	4835 WOODLAND AVE STE 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-4433
Country	:	US
Telephone Number	:	215-883-0568
Fax Number	:

Provider Business Practice Location Address
First Line	:	4835 WOODLAND AVE # 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-4433
Country	:	US
Telephone Number	:	215-883-0568
Fax Number	:	215-883-0635

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	ADEBAYO ADENIRAN
Credential	:
Telephone Number	:	215-883-0568

Provider Enumeration Date	:	11/25/2011
Last Update Date	:	02/05/2025

Similar Medicare Providers

1659665271 — GOODHEART PHARMACY INC
Practice Location Address:

4835 WOODLAND AVE
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-724-3300
Practice Fax: 215-724-3301

1124399480 — ADEBAYO ADENIRAN PHARM.D.
Practice Location Address:

4835 WOODLAND AVE # 1
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-883-0568
Practice Fax:

1992078190 — AMITY CARE
Practice Location Address:

4803 WOODLAND AVE
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-326-9491
Practice Fax: 866-579-5047

1669737029 — MR. DERRICK T DICKER M.H.S.
Practice Location Address:

4803 WOODLAND AVE
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-326-9491
Practice Fax:

1568706315 — CHRISTINE GRIFFIS
Practice Location Address:

4803 WOODLAND AVE
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-326-9491
Practice Fax:

1063841716 — RASHEEDA TILLMAN
Practice Location Address:

4803 WOODLAND AVE
PHILADELPHIA, PA
19143-4433

Practice Phone: 215-326-9491
Practice Fax:

Directions to “NEW PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.