Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmount Pharmacy Inc

Organization Pharmacy · NPI 1073511242

Fairmount Pharmacy Inc is a Pharmacy in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Green St
Philadelphia, PA 19130-3207
Phone: (215) 567-0364
Fax: (215) 567-1931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP411438L (PA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1073511242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Volgraf — Pharmacist Manager And Vp · (215) 567-0364
Other names Fairmount Pharmacy Inc
NPI enumeratedJuly 12, 2005
Last updated in NPPESFebruary 23, 2015
Mailing address1900 Green St, Philadelphia, PA 19130-3207

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