PERIGON PHARMACY 360, LLC – NPI #1669823266
Pharmacy
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
PERIGON PHARMACY 360, LLC is a pharmacy located in CORAOPOLIS, PA. NPPES has assigned the NPI number 1669823266 to PERIGON PHARMACY 360, LLC on June 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is VALEDA RX LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336S0011X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Specialty Pharmacy
The NPI profile was previously updated about 3 years ago on Jan 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERIGON PHARMACY 360, LLC below.
NPI Profile for
PERIGON PHARMACY 360, LLC
(about 10 years ago)
CORAOPOLIS, PA 15108-2446 Phone: (412) 684-2500 Fax: (844) 582-5332
CHIEF EXECUTIVE OFFICER
Phone: (412) 684-2500
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for PERIGON PHARMACY 360, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | PK | 2160783 | |
| medicaid | AK | 1689851 | |
| medicaid | CO | 1669823266 | |
| medicaid | MD | 564121700 | |
| medicaid | NJ | 656739 | |
| medicaid | PA | 1032363790001 | |
| medicaid | SC | 7P2679 | |
| medicaid | WA | 2111445 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336S0011X - Pharmacy / Specialty Pharmacy (Primary) |
||
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.